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 |
Enumeration Date | 2006-10-27 |
Last Update Date | 2023-07-26 |