Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1235204363 |
| LBN Legal business name | SAC INC. |
| Authorized official | ROMEL QUINONES - (OFFICE MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/22/2006 |
| Last updated | 07/21/2022 - About 4 years ago |
| Identifiers | n/a |
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SAC INC.
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