NPI | 1629250329 |
---|---|
Other Name | THE OPTICAL SHOPPE |
Entity Type | Organization |
Authorized Contact | JAMES DONALD DILLARD President/Owner 706-543-6006 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA OPT000704) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2008-01-17 |