| NPI | 1396912945 |
|---|---|
| Former Legal Business Name | EC OPTICAL |
| Entity Type | Organization |
| Authorized Contact | KATHE S CHAMPAGNE Optician 251-962-3077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AL 96872008) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-05-21 |