| NPI | 1962501445 |
|---|---|
| Doing Business As | VISION CENTER 30-3351 |
| Entity Type | Organization |
| Authorized Contact | TAMMY J BOYD Contract COO Rdinator 479-277-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Additional Taxonomies | 332H00000X Eyewear Supplier |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |