NPI | 1922594159 |
---|---|
Doing Business As | STANTON OPTICAL |
Entity Type | Organization |
Authorized Contact | JACKIE BENNETT Credentialing Manager 561-612-4531 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier |
Enumeration Date | 2018-07-11 |
Last Update Date | 2021-02-18 |