NPI | 1780037929 |
---|---|
Doing Business As | AURORA VISION CENTER- NORTHWEST CLINIC |
Entity Type | Organization |
Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2016-07-22 |
Last Update Date | 2025-02-25 |