NPI | 1841413622 |
---|---|
Doing Business As | HERITAGE VISION ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MARIE JOHNSON General Manager 405-360-6285 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-04-11 |
Last Update Date | 2009-04-23 |