NPI | 1942309422 |
---|---|
Doing Business As | VISION CENTER 30-3739 |
Entity Type | Organization |
Authorized Contact | TAMMY J BOYD Contract COO Rdinator 479-277-1359 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
Additional Taxonomies | 332H00000X Eyewear Supplier |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |