Organization
CRAFTSMEN OPTICAL IN.
Active
Other names
Eyeglass Outlet & Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH CLIFFORD JOHNSON JR. (PRESIDENT)
(231) 946-5809
Entity
Organization
Contact information
Practice address
1077 W SOUTH AIRPORT RD, TRAVERSE CITY, MI 49686-4737
(231) 946-5809
(231) 946-5820
Mailing address
1077 W SOUTH AIRPORT RD, TRAVERSE CITY, MI 49686-4737
(231) 946-5809
(231) 946-5820
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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