NPI | 1609071679 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA A NICHOLAS Optician 606-528-7336 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KY 165742) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2020-08-22 |