| NPI | 1669656799 |
|---|---|
| Former Legal Business Name | PATRICK OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL JACK BRADLEY Principal 817-370-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: TX DRO166) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2017-07-27 |