NPI | 1700057890 |
---|---|
Doing Business As | THE OPTICAL SHOP, LLC |
Entity Type | Organization |
Authorized Contact | STANLEY BURTON JONES President 214-821-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX DR4033) |
332H00000X Eyewear Supplier (Equipment, not the service) | |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-06-17 |