| NPI | 1801915632 |
|---|---|
| Other Name | OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | JAMES GLENN HUFFMAN Co President 606-877-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-11-16 |