NPI 1992811632

C & C Optical Shop INC.

Organisation Eyewear Supplier Fremont, MI

Practice location

Address: 1007 W Main St, Fremont, MI 49412-1420
Phone: (231) 924-1988
Fax: (231) 924-1622

Authorised official

Name: Cherry Marie Walton
Title: Manager
Phone: (231) 924-1988

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 1262670001 (MI)

Other Eyewear Supplier providers in Michigan →

Registry record

NPI: 1992811632
Entity type: Organization
NPI issued: 23 Aug 2006
Record last updated: 10 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.