| NPI | 1164416947 |
|---|---|
| Doing Business As | COUNTY LINE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | NORA PEARSON O PT Ician 303-730-8024 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2008-02-01 |