NPI | 1821283730 |
---|---|
Doing Business As | VISION SOURCE |
Entity Type | Organization |
Authorized Contact | MICHAEL R. GERDTS O.D. 281-466-1888 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: 6836T) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2018-06-21 |