| NPI | 1801973110 |
|---|---|
| Doing Business As | HIGH DESERT VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | ALISHIA DAWN HOLLAND Credentialing Specialist 541-923-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2601AT) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-07-22 |