| NPI | 1245471408 |
|---|---|
| Doing Business As | FACULTY PRACTICE PLAN OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | SIDNEY EVANS Vice President/Treasurer 202-806-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |