NPI | 1720297070 |
---|---|
Doing Business As | PEARLEVISION |
Entity Type | Organization |
Authorized Contact | SUE DIDEHBAN President Owner Franchasie 208-461-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 156FC0800X Technician/Technologist, Contact Lens (Licence: IL A7965) |
Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: IL 25009) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2020-08-22 |