| NPI | 1871717199 |
|---|---|
| Other Name | VISION SOURCE OF ONEONTA |
| Entity Type | Organization |
| Authorized Contact | HAROLD E HARRISON Owner 205-625-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL 302) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2013-07-19 |