NPI | 1205052578 |
---|---|
Doing Business As | DBA PHYSICIANS & SURGEONS OPTICAL SERVICE, LTD. |
Entity Type | Organization |
Authorized Contact | JOE M. BENNETT Owner 660-826-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO 12333671) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2007-11-02 |