| NPI | 1912923590 |
|---|---|
| Doing Business As | THE OPTICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | JUNE CHEATHAM Administrator 903-595-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-01-22 |