| NPI | 1548409824 |
|---|---|
| Doing Business As | NORTHLAKE OPTICAL |
| Entity Type | Organization |
| Authorized Contact | ZANETTA BELLAMY HARGETT Co Owner/ Optician 704-598-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NC 477) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |