Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1548568702 |
| LBN Legal business name | EYEGLASS WORLD |
| Authorized official | SUSAN EDICK - (MC ASSISTANT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/11/2011 |
| Last updated | 03/11/2011 - About 15 years ago |
| Identifiers | n/a |
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