NPI | 1811310279 |
---|---|
Doing Business As | WABASH VALLEY EYE CENTER |
Entity Type | Organization |
Authorized Contact | ERICA PERREIRA Chief Operating Officer 877-881-0022 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |