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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