| NPI | 1942326244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA VAUGHN Optometrist 479-478-8860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: AR 2554) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-01-12 |