NPI | 1659300168 |
---|---|
Doing Business As | KEY WHITMAN OPTICAL CENTER |
Entity Type | Organization |
Authorized Contact | JENNIFER BOYD BALDOCK Officer And Authorized Official 615-234-5954 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: TX 517801) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2024-02-09 |