NPI | 1831314806 |
---|---|
Doing Business As | ST. MATTHEWS VISION CENTER |
Entity Type | Organization |
Authorized Contact | JOHN GARDNER Owner 502-896-4497 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: KY KY 965) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2008-06-16 |