Organization Name: | TRENDSETTERS OPTICAL |
NPI Number: | 1215002829 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT HAMILTON (OWNER) |
Mailing Address: | 503 E Broadway St Monett |
State: | MO US |
Postal Code: | 657082333 |
Phone Number: | 4172350707 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |