NPI | 1558320325 |
---|---|
Doing Business As | BOOZMAN-HOF OPTICAL |
Entity Type | Organization |
Authorized Contact | CHASTITY JACKMAN Credentialing Manager 479-246-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2006-03-21 |
Last Update Date | 2022-03-15 |