| NPI | 1265643217 |
|---|---|
| Other Name | OPTICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | PAM GARMON Business Office Manager 270-651-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |