Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI Number | 1285786095 |
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| LBN Legal business name | CARNATION OPTICAL INC. | ||||||||
| Authorized official | STEPHANIE STUTLER - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/18/2007 | ||||||||
| Last updated | 11/04/2022 - About 4 years ago | ||||||||
| Identifiers |
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