NPI | 1023444536 |
---|---|
Doing Business As | STANTON OPTICAL |
Entity Type | Organization |
Authorized Contact | ALISHA JACKSON Managed Care Manager 561-208-1591 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2013-09-17 |
Last Update Date | 2024-08-21 |