Organization Name: | COFFMAN OPTICAL, LLC |
NPI Number: | 1982972410 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MATTHEW D FORD (OWNER) |
Mailing Address: | 130 S Broadway St New Philadelphia |
State: | OH US |
Postal Code: | 446633829 |
Phone Number: | 3303431215 |
Fax Number: | 3303433673 |
NPI Enumeration Date: | 12/12/2011 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 4045S |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
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. |