| 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 |