NPI | 1659506400 |
---|---|
Doing Business As | BOURN VISION |
Entity Type | Organization |
Authorized Contact | TONYA K BOURN President 217-303-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046-008999) |
Enumeration Date | 2009-05-22 |
Last Update Date | 2018-09-13 |