| NPI | 1700198918 |
|---|---|
| Doing Business As | THE OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | MICHAEL STONE Insurance Clerk 334-480-4015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-10-22 |