NPI | 1205144003 |
---|---|
Doing Business As | SPECTACLE SHOP OUTLET |
Entity Type | Organization |
Authorized Contact | JON DAVID BRIGHT President 434-995-2240 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2010-09-15 |
Last Update Date | 2023-06-25 |