NPI | 1013121987 |
---|---|
Other Name | OPTICAL CENTER |
Entity Type | Organization |
Authorized Contact | JAMES B FOWLER President 719-546-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CO 25573) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-10-09 |