Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI # | 1730564881 |
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| LBN Legal business name | STE. MARIE OPTICIANS INC | ||||||||||||
| Authorized official | ROBERT DUBIEL - (OPTICIAN/PRESIDENT) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/29/2015 | ||||||||||||
| Last updated | 07/29/2015 - About 11 years ago | ||||||||||||
| Identifiers |
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