NPI | 1700076643 |
---|---|
Doing Business As | VISION SOURCE |
Doing Business As | ACCURATE EYE CARE |
Entity Type | Organization |
Authorized Contact | DAVID R RUSSELL President 307-789-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WY 293T) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2018-08-02 |