NPI | 1962141598 |
---|---|
Doing Business As | OPTIC GALLERY HORIZON RIDGE |
Entity Type | Organization |
Authorized Contact | ANNE FLORENCE RESURRECCION VALDEZ Optometrist 725-220-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2022-06-01 |
Last Update Date | 2023-07-27 |