Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Optician |
156FX1800X | 96[5] | Optician | |
Contact Lens Fitter |
156FC0801X | |||
Optometrist |
152W00000X | 41 | Optometry |
| NPI Number | 1952468993 |
| LBN Legal business name | GRANITE CITY EYE CARE, INC. |
| Authorized official | LISA COX - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/02/2007 |
| Last updated | 07/28/2008 - About 18 years ago |
| Identifiers | n/a |
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