Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1629235031 |
| LBN Legal business name | FLUEGGE OPTICAL |
| Authorized official | DALE FLUEGGE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 05/22/2008 |
| Last updated | 05/22/2008 - About 18 years ago |
| Identifiers | n/a |
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