| NPI | 1194778480 |
|---|---|
| Doing Business As | CO-OP OPTICAL |
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN FORSEA President And COO 330-753-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: OH 2089-SC) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OH OH 2089SC) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-10-22 |