NPI | 1932378056 |
---|---|
Doing Business As | THE OPTICAL SHOP |
Entity Type | Organization |
Authorized Contact | WILLIAM PAUL HOGAN Owner/O PT Ician 352-331-1933 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: FL DO431) |
Enumeration Date | 2008-02-22 |
Last Update Date | 2008-12-04 |