NPI | 1174940464 |
---|---|
Doing Business As | BLUE MOON OPTICAL |
Entity Type | Organization |
Authorized Contact | MICHAEL PATRICK DUFFY Owner 805-710-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: TX 189067) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2014-03-25 |