| NPI | 1689896003 |
|---|---|
| Doing Business As | DBA FAMILY VISION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROGER G DAVIS President 336-765-5350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-07-08 |