NPI | 1053775502 |
---|---|
Former Legal Business Name | JOHN STOLPE, B.C.O. |
Entity Type | Organization |
Authorized Contact | JOHN MATTHEW STOLPE Board Certified Ocularist, Board Ap 818-758-1666 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1700X Technician/Technologist, Ocularist |
Additional Taxonomies | 224P00000X Prosthetist |
229N00000X Anaplastologist | |
Enumeration Date | 2016-04-11 |
Last Update Date | 2022-12-07 |