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Organization

THE OPTICAL SHOPPE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MYRON PATRICK (OWNER)
(903) 667-2015
Entity
Organization

Contact information

Practice address
109 N RUNNELS ST, DE KALB, TX 75559-1440
(903) 667-2015
(903) 667-0930
Mailing address
109 N RUNNELS ST, DE KALB, TX 75559-1440

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
12/09/2008
Last updated
12/09/2008
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