Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1649309725 |
| LBN Legal business name | HERSLOF'S, INC |
| Authorized official | VICKI DICKMAN - (VP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/05/2007 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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