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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