| NPI | 1740452887 |
|---|---|
| Other Name | TRI STATE OPTICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | ALAN LOUIS LATOURETTE Owner 479-636-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2281) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |