| NPI | 1316064934 |
|---|---|
| Doing Business As | THE OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A MOORE Office Manager 910-484-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-08-19 |