Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Occupational Vision |
152WX0102X | 41 | Optometry |
| NPI # | 1679627772 |
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| LBN Legal business name | DALUZ OPTICAL AND SUPPLIES INC | ||||||||||||
| Authorized official | REINALDO HUERTAS - (PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/23/2007 | ||||||||||||
| Last updated | 10/24/2008 - About 18 years ago | ||||||||||||
| Identifiers |
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