Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens Fitter |
156FC0801X |
| NPI Number | 1598564502 |
| LBN Legal business name | COSMIC CONTACT LENSES AND GLASSES LLC |
| Authorized official | SHIRLEY ALMODOVAR - (OWNER LICENSED OPTICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/11/2025 |
| Last updated | 08/20/2025 - About 10 months ago |
| Identifiers | n/a |
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