| NPI | 1700970423 |
|---|---|
| Doing Business As | VISION SOURCE STUDIO 20/20 |
| Entity Type | Organization |
| Authorized Contact | AMIR KHOSHNEVIS Physician/Owner 704-295-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1714) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-06-05 |