Organization · Type 2 NPI
Optic Shop, Llc.
Eyewear Supplier · Coffeyville, KS
NPI number
1396217931
Active
Practice location
2205 W 8th St
Coffeyville, KS 67337-2936
Fax (620) 688-6055
Other practice locations
- 1411 W 4th St, Coffeyville, KS 67337-3341 · (620) 251-0050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3 other providers at this address
About NPI 1396217931
Optic Shop, Llc.'s National Provider Identifier is 1396217931, issued on Dec 20, 2018. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Coffeyville, KS. The record was last updated on Jun 5, 2019.