Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1508051038 |
| LBN Legal business name | CONNER OPTICAL SERVICE INC |
| Authorized official | ALAN CONNER - (PRES) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/07/2007 |
| Last updated | 09/07/2007 - About 19 years ago |
| Identifiers | n/a |
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