| NPI | 1447827738 |
|---|---|
| Doing Business As | OPTICAL EXPRESS |
| Entity Type | Organization |
| Authorized Contact | DEREK P VAN VEEN Owner 864-316-9053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-09-20 |