| NPI | 1225329121 |
|---|---|
| Doing Business As | IDOC OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CAROL HARRIS Executive Director 210-226-6169 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |