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 |