Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI Number | 1407998891 |
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| LBN Legal business name | PRO OPTICS EYEWEAR CORP | ||||||||
| Authorized official | LINN LAI - (PRESIDENT) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/13/2007 | ||||||||
| Last updated | 07/29/2008 - About 18 years ago | ||||||||
| Identifiers |
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