| NPI | 1750639043 |
|---|---|
| Doing Business As | SHENANDOAH EYE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SHEILA SMITH CRAWFORD Manager 225-892-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2022-07-21 |