| NPI | 1992189757 |
|---|---|
| Doing Business As | VISION SOURCE CARLSBAD |
| Entity Type | Organization |
| Authorized Contact | THOMAS KUNZ Optometrist 208-251-8669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NM NM 629) |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2015-07-11 |