NPI | 1942446083 |
---|---|
Doing Business As | DBA IMAGE EYECARE |
Entity Type | Organization |
Authorized Contact | JASON HUGH MOULTON Optometrist 480-380-5116 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1452) |
Enumeration Date | 2008-12-19 |
Last Update Date | 2013-12-05 |