| NPI | 1871691485 |
|---|---|
| Doing Business As | VISION SOURCE STUDIO 20/20 |
| Entity Type | Organization |
| Authorized Contact | DAVID EUGENE LUPINSKI Owner 704-295-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 1816) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-10-07 |