NPI | 1063576346 |
---|---|
Former Legal Business Name | BLANDFORD OPTICAL |
Entity Type | Organization |
Authorized Contact | DAVID R ROZAS President 501-664-5354 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-12-20 |
Last Update Date | 2017-02-15 |