Organization Name: | DENISE M SHOW |
NPI Number: | 1205239654 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENISE M SHOW (OWNER) |
Mailing Address: | 1842 Highway 31 N Prattville |
State: | AL US |
Postal Code: | 360676758 |
Phone Number: | 3343803917 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |