Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1033396569 |
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| LBN Legal business name | JOHN STEPENSKY | ||||||||
| Authorized official | JOHN STEPENSKY - (OPTICIAN/OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/28/2008 | ||||||||
| Last updated | 06/18/2008 - About 18 years ago | ||||||||
| Identifiers |
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