| NPI | 1215008594 |
|---|---|
| Doing Business As | THE EYEGLASS SHOPPE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY GW MILLER President 808-949-7288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: HI W20275556-01) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: HI W20275556-01) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: HI W20275556-01) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |