Organization Name: | PATJAC, INC. |
NPI Number: | 1033118302 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PATRICK O KANE (FRANCHISE OWNER) |
Mailing Address: | 4118 W Division St Saint Cloud |
State: | MN US |
Postal Code: | 563013706 |
Phone Number: | 3202522021 |
Fax Number: | 3202527416 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 06/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |