| NPI | 1053917468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN RENEE MORRISON Optician/Owner 304-627-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |