Little Mo's Optical Boutique
NPI #1841332343 in Coeurd Alene, Idaho
Provider Information
- NPI Number
- 1841332343
- Entity Type
- Organization
- Organization Name
- Little Mo's Optical Boutique
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 1720 LINCOLN WAY
- City
- Coeurd Alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 664-4011
Authorized Official
- Name
- LYNN C ERICKSON, OPTICIAN
- Title
- OWNER
- Phone
- (208) 664-4011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
| Technician/Technologist - Optician — Optician |
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