C & C Optical Shop Inc.

NPI #1992811632 in Fremont, Michigan

Provider Information

NPI Number: 1992811632
Entity Type: Organization
Organization Name: C & C Optical Shop Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Aug 23, 2006
Last Updated: Jan 10, 2008

Practice Location

Address: 1007 W MAIN ST
City: Fremont
State: Michigan
ZIP Code: 49412-1420
Phone: (231) 924-1988

Authorized Official

Name: MRS. CHERRY MARIE WALTON
Title: MANAGER
Phone: (231) 924-1988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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