NPI | 1669606349 |
---|---|
Doing Business As | VISION SOURCE - RESEARCH FOREST |
Entity Type | Organization |
Authorized Contact | MICHAEL R. GERDTS Doctor Of O PT Ometry 281-466-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: TX 6836T) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-05-08 |