| NPI | 1710495957 |
|---|---|
| Doing Business As | STANTON OPTICAL |
| Entity Type | Organization |
| Authorized Contact | JACKIE BENNETT Managed Care/Operations Supervisor 561-612-4531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-02-19 |