| NPI | 1114909223 |
|---|---|
| Other Name | COLLOM & CARNEY CLINIC OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | MARY E DWIGHT Chief Operating Officer 903-614-3282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-02-24 |