| NPI | 1952487431 |
|---|---|
| Doing Business As | VISION CENTER 30-2049 |
| Entity Type | Organization |
| Authorized Contact | MATT MCMULLIN Dir Healthcare Contracting 479-371-8711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2023-07-26 |