NPI | 1972660595 |
---|---|
Doing Business As | PINE BLUFF OPTICAL COMPANY |
Entity Type | Organization |
Authorized Contact | FAYE WEST Manager 870-534-8184 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: AR L8837) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2008-07-24 |