| NPI | 1770013369 |
|---|---|
| Doing Business As | VISTA OPTICAL (MILITARY) |
| Entity Type | Organization |
| Authorized Contact | ERIC ANTOINE Managed Care 678-892-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |