| NPI | 1811159809 |
|---|---|
| Doing Business As | VISION SOURCE LINCOLN VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SARAH E BERG Owner 512-454-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2009-08-26 |