NPI | 1508865700 |
---|---|
Doing Business As | EYEWEAR CONCEPTS |
Entity Type | Organization |
Authorized Contact | NATHANIEL DEAN SHILMAN Owner 701-225-7886 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: ND 560) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2020-09-16 |