Kokomo Optical INC
NPI #1568577641 in Kokomo, Indiana
Provider Information
- NPI Number
- 1568577641
- Entity Type
- Organization
- Organization Name
- Kokomo Optical INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Aug 20, 2006
- Last Updated
- Mar 14, 2008
Practice Location
Authorized Official
- Name
- MR. JACKIE LEON ELLIS
- Title
- PRESIDENT
- Phone
- (764) 555-1810
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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