NPI | 1831382605 |
---|---|
Doing Business As | POLSON FAMILY EYECARE |
Entity Type | Organization |
Authorized Contact | JEFFREY DONALD HENINGER Owner 406-883-4355 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MT 792) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2020-01-30 |