| NPI | 1972948024 |
|---|---|
| Former Legal Business Name | TOTAL VISION, INC. |
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL LAVELY President & CEO 252-544-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2016-02-02 |