NPI | 1659635209 |
---|---|
Doing Business As | EYE Q VISION |
Entity Type | Organization |
Authorized Contact | ANGELA MICHELLE JOHNSON CEO 507-387-6695 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3175) |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2012-06-28 |
Last Update Date | 2024-03-27 |