| NPI | 1558572370 |
|---|---|
| Doing Business As | OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | STEVEN DANIEL ZELKO Owner 805-682-2618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2008-04-22 |