NPI | 1770873655 |
---|---|
Entity Type | Organization |
Authorized Contact | MARTY P. UNDERWOOD Dispensing Optician, Owner 812-385-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |