Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1245471416 |
| LBN Legal business name | ROSE DALLAS OPTICAL LLC |
| Authorized official | LAURIE ROSE - (OWNER/MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/17/2009 |
| Last updated | 03/17/2009 - About 17 years ago |
| Identifiers | n/a |
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