Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician |
| NPI # | 1902097884 |
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| LBN Legal business name | OPTICAL FASHIONS CORP | ||||
| Authorized official | MICHAEL FISH - (MGR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/06/2007 | ||||
| Last updated | 01/02/2008 - About 18 years ago | ||||
| Identifiers |
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OPTICAL FASHIONS CORP
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