| NPI | 1659544591 |
|---|---|
| Former Legal Business Name | MOUNTAIN VISTA VISIONCLINIC AND OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ANDREW ALAN ACHZIGER Manager/Member 970-339-9855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2013-01-24 |