| NPI | 1730378126 |
|---|---|
| Doing Business As | WEDGWOOD OPTICAL |
| Entity Type | Organization |
| Authorized Contact | FOREST L CALHOUN Owner 817-292-1622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-07-23 |