| NPI | 1912094566 |
|---|---|
| Doing Business As | PHYSICIAN'S OPTICAL |
| Entity Type | Organization |
| Authorized Contact | EARLE GLENN SANFORD Managing Partner 660-885-8171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MO LC0010929) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2019-05-01 |