Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1316063548 |
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| LBN Legal business name | COMPLETE EYE CARE CENTER | ||||||||||||
| Authorized official | ADAM ROSSI - (GENERAL MANAGER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 03/21/2007 | ||||||||||||
| Last updated | 08/22/2020 - About 6 years ago | ||||||||||||
| Identifiers |
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