Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1649548629 |
| LBN Legal business name | UNIQUE EYEGLASS OUTLET |
| Authorized official | ANTHONY SCLAPANI - (OWNER/OPTICIAN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/06/2011 |
| Last updated | 12/06/2011 - About 15 years ago |
| Identifiers | n/a |
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