| NPI | 1225330673 |
|---|---|
| Other Name | THE OPTICAL SHOPPE |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN D NILSON Owner 435-752-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: UT 6962612-1205) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 8127835-9934) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2017-08-29 |