NPI | 1699969410 |
---|---|
Doing Business As | NEW VISTA EYECARE |
Entity Type | Organization |
Authorized Contact | JACOB B VERGIN Managing Partner 715-861-5253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: WI 3081-035) |
Enumeration Date | 2007-09-05 |
Last Update Date | 2008-02-21 |