NPI | 1215050059 |
---|---|
Doing Business As | WOOD OPTICIANS |
Entity Type | Organization |
Authorized Contact | MICHAEL LENARD GANSEN Owner 301-949-5182 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2007-04-09 |
Last Update Date | 2020-08-22 |