| NPI | 1346459500 |
|---|---|
| Doing Business As | OPTICAL SERVICE |
| Entity Type | Organization |
| Authorized Contact | B. J. RUST Optician 817-338-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX DR0128) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-11-03 |