Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1407928187 |
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| LBN Legal business name | MIDWEST VISION CENTERS INC | ||||||||||||||||||||||||
| Authorized official | CARIN EVANS - (DIRECTOR OF OPERATIONS) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 11/15/2006 | ||||||||||||||||||||||||
| Last updated | 11/10/2021 - About 5 years ago | ||||||||||||||||||||||||
| Identifiers |
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