NPI | 1326206186 |
---|---|
Doing Business As | MARIA L SHOOP DAVENPORT |
Doing Business As | 316 OPTOMETRY LLC |
Entity Type | Organization |
Authorized Contact | MARIA LYN-SHOOP GARCIA Owner 269-268-5140 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MI 4901003648) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2022-11-22 |