| NPI | 1902071764 | 
|---|---|
| Doing Business As | VISION CENTER 30-1609 | 
| Entity Type | Organization | 
| Authorized Contact | DAVID J SIMMONS Npi Associate 479-277-9373  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician | 
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) | 
| Enumeration Date | 2008-04-23 | 
| Last Update Date | 2008-04-23 |