NPI | 1619347622 |
---|---|
Doing Business As | SIXTH STREET OPTICAL |
Entity Type | Organization |
Authorized Contact | LORI KAY EGEBERG Owner 605-692-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2015-10-02 |