| NPI | 1588753156 |
|---|---|
| Doing Business As | PHOENIX OPTICAL |
| Entity Type | Organization |
| Authorized Contact | GINA EVANS LEACHMAN Office Manager 251-473-4003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-12-18 |