| NPI | 1942327408 |
|---|---|
| Doing Business As | GREEN VALLEY OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GEORGE MICHAEL BOONE President 520-648-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |