| NPI | 1588781108 |
|---|---|
| Doing Business As | THE OPTICAL SHOP OWEN DRIVE |
| Entity Type | Organization |
| Authorized Contact | TERESA M COX Practice Administrator 910-484-2284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NC 351) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-03-18 |