| NPI | 1679626139 |
|---|---|
| Other Name | AUDUBON OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | MARK M PRUSSIAN Administrator 502-589-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2009-06-29 |