| NPI | 1700283405 |
|---|---|
| Former Legal Business Name | OPTICARE VISION COMPANY, INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LAVELY President & CEO 252-544-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2016-03-28 |