Organization Name: | QUALITY VISION CENTER, INC. |
NPI Number: | 1063561108 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA A MOBERLY (PRESIDENT) |
Mailing Address: | 2350 Se Washington Blvd Ste 228 Bartlesville |
State: | OK US |
Postal Code: | 740067211 |
Phone Number: | 9183332929 |
Fax Number: | 9183334651 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 02/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |