| NPI | 1699858860 |
|---|---|
| Other Name | OZARK OPTICAL |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN JOHNSON Owner/Optician 334-774-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: AL 10273) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-05-13 |