| NPI | 1831410984 |
|---|---|
| Doing Business As | CLEVELAND EYE OPTICAL BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | CORTNEY MICHELLE WAYCASTER Optometrist/Co Owner/Manager 423-472-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |