| NPI | 1255486882 |
|---|---|
| Former Legal Business Name | SPECTRUM OPTICAL LLC |
| Entity Type | Organization |
| Authorized Contact | RICHARD HENRY GOELLNER Managing Partner 304-599-7034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-12 |