Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1639835713 |
| LBN Legal business name | ANCA OPTICAL CORP |
| Authorized official | ANTHONY GAGGI - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/12/2021 |
| Last updated | 11/17/2021 - About 5 years ago |
| Identifiers | n/a |
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ANCA OPTICAL CORP
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