NPI | 1679896641 |
---|---|
Doing Business As | VISION CENTER 4435 |
Entity Type | Organization |
Authorized Contact | HOLLY C WILKINSON Carrier Specialist 479-204-8320 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2010-03-05 |
Last Update Date | 2010-03-05 |