| NPI | 1609017276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL LEN DUKES Owner / Optican 270-452-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: KY 1095) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |