| 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 (Licence: MO 12333671) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-11-02 |