NPI | 1548330160 |
---|---|
Former Legal Business Name | COLUMBUS OPTICAL |
Entity Type | Organization |
Authorized Contact | CHARLES E OLIVER President 812-372-4117 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KY 111899) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY 111899) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2016-10-28 |