| NPI | 1730364019 |
|---|---|
| Doing Business As | DEATHERAGE CERTIFIED OPTICIANS |
| Entity Type | Organization |
| Authorized Contact | GREGORY ERIC DEATHERAGE Owner 940-723-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2011-01-25 |