NPI | 1871696179 |
---|---|
Doing Business As | PROMONTORY FAMILY VISION |
Entity Type | Organization |
Authorized Contact | SPRING DEROCHE Office Manager 385-626-7699 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: UT 375535-9934) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2023-09-14 |