Organization
SOUTHWEST VISION CENTER INC.
Active
Parent organization
SOUTHWEST VISION CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST VISION CENTER INC.
Authorized official
DEVEN MATTHEW LAMBART B.S. (VICE PRESIDENT)
(269) 240-4464
Entity
Organization
Contact information
Practice address
55021 M 51 N, DOWAGIAC, MI 49047-9664
(269) 782-3476
(269) 782-6631
Mailing address
69001 M 62 STE E, EDWARDSBURG, MI 49112-9131
(269) 273-8588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004625
MI
Other
Enumeration date
08/18/2017
Last updated
08/18/2017
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