| NPI | 1851176556 |
|---|---|
| Doing Business As | VISTA OPTICAL IN SELECTED FRED MEYER STORES |
| Entity Type | Organization |
| Authorized Contact | LEAHANN RENE VAUGHN Mgd Care Sales 470-448-2782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2023-08-30 |