| NPI | 1962911438 |
|---|---|
| Doing Business As | BUENA VISTA EYECARE GROUP OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | MARK GLENN MITCHELL CEO 775-848-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-09-27 |