| NPI | 1760913552 |
|---|---|
| Former Legal Business Name | SALT OPTICAL LLC |
| Entity Type | Organization |
| Authorized Contact | KIRSTEN ELISE DUNN Master Optician 817-807-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |