| NPI | 1871912410 |
|---|---|
| Doing Business As | PROMEDICA PHYSICIANS EYE CARE |
| Entity Type | Organization |
| Authorized Contact | TANYA WINES Director 567-585-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 207W00000X Ophthalmology | |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2025-10-13 |