Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X |
| NPI # | 1922552157 |
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| LBN Legal business name | D&M OPTICAL & HEARING AID CORP | ||||
| Authorized official | BRUCE GORAL - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/04/2016 | ||||
| Last updated | 08/04/2016 - About 10 years ago | ||||
| Identifiers |
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D&M OPTICAL & HEARING AID CORP
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