| NPI | 1841331691 |
|---|---|
| Doing Business As | VISON SOURCE OF BOWLING GREEN |
| Entity Type | Organization |
| Authorized Contact | JOHN N. BREIWA President 270-842-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-09-21 |