Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1013002492 |
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| LBN Legal business name | UNIQUE-U LLC | ||||||||
| Authorized official | JERAMIAH DONELSON - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/03/2006 | ||||||||
| Last updated | 03/26/2008 - About 18 years ago | ||||||||
| Identifiers |
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