NPI | 1467622605 |
---|---|
Other Name | CUSTOM OPTICAL OF FONDREN LLC |
Doing Business As | CUSTOM OPTICAL OF FONDREN LLC |
Entity Type | Organization |
Authorized Contact | PATRICIA HAMMONS Owner/Optician 601-362-6675 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2022-04-29 |