Eye and Vision Services Providers (1578)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Eye and Vision Services Providers
CLASSIFICATION Fellow, Optometrist
STATUS Active
VA CODE V060809
X12 CODE 390200000X
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5325895
EFFECTIVE DATE/TIME
  • 2018-12-13 09:56:33
    STATUS:   ACTIVE