NPI | 1538337431 |
---|---|
Doing Business As | OPTICAL SHOPPE |
Entity Type | Organization |
Authorized Contact | CANDACE NICOLE SMITH Owner 417-257-9631 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-06-29 |