NPI | 1720259070 |
---|---|
Doing Business As | IDEAL VISION CARE |
Entity Type | Organization |
Authorized Contact | AMY THANH DINH Optometrist/ Owner 225-766-8788 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1406-544T) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: LA 1406-544T) |
Enumeration Date | 2008-03-14 |
Last Update Date | 2011-01-11 |