| 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 |