Organization
ALLIED OPTICAL SHOP INC.
Active
Organization
ALLIED OPTICAL SHOP INC.
Active
Other names
Allied Optical Shop Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MICHELLE MATZKIN (OWNER)
(423) 933-0010
Entity
Organization
Contact information
Practice address
7405 SHALLOWFORD RD, SUITE 420, CHATTANOOGA, TN 37421-2661
(423) 933-0010
(423) 855-8533
Mailing address
7405 SHALLOWFORD RD, SUITE 420, CHATTANOOGA, TN 37421-2661
(423) 933-0010
(423) 855-8533
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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