Organization Name: | FERGUSON OPTICAL, INC |
NPI Number: | 1831173145 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES MICHAEL VOGEL (PRESIDENT) |
Mailing Address: | 1 S Florissant Rd Ferguson |
State: | MO US |
Postal Code: | 631352333 |
Phone Number: | 3145228484 |
Fax Number: | 3145223933 |
NPI Enumeration Date: | 11/30/2005 |
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: |