Organization
ALLIANCE VISION SOURCE, P.C.
Active
Other names
Bridgeport Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA FRANKLIN (CORPORATION SECRETARY)
(308) 262-1252
Entity
Organization
Contact information
Practice address
921 MAIN STREET, BRIDGEPORT, NE 69336
(308) 262-1252
Mailing address
PO BOX 354, BRIDGEPORT, NE 69336-0354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
04/11/2008
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