| NPI | 1982384020 |
|---|---|
| Doing Business As | NORTH RANGE EYE CARE |
| Entity Type | Organization |
| Authorized Contact | MELISSA ALLISON Mvc/Rcm 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |