NPI | 1811280076 |
---|---|
Doing Business As | ENVISION EYE CARE AND EYEWEAR GALLERY |
Entity Type | Organization |
Authorized Contact | CHRISTINA MUMMERT Member/President 260-616-0184 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: IN 18003334) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2013-12-02 |