NPI | 1790907277 |
---|---|
Doing Business As | KELLER OPTICAL |
Entity Type | Organization |
Authorized Contact | BRENT MICHAEL CRYMES Doctor 706-549-9993 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: GA BT-085849) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-05-03 |
Last Update Date | 2021-06-14 |