| NPI | 1619146339 |
|---|---|
| Doing Business As | GOOSE CREEK OPTICAL |
| Entity Type | Organization |
| Authorized Contact | BERNARD BENSON Pres/Mgr 303-442-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-10-28 |