NPI | 1700360930 |
---|---|
Doing Business As | VISION SOURCE LAKE POINTE |
Entity Type | Organization |
Authorized Contact | VIRAL A DESAI Owner 281-232-2024 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2018-09-24 |
Last Update Date | 2018-09-24 |