Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Orthoptist |
156FX1900X |
| NPI Number | 1013248442 |
| LBN Legal business name | 20/20 OPTICAL BOUTIQUE INC. |
| Authorized official | UZMA UMER - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/25/2010 |
| Last updated | 01/25/2010 - About 16 years ago |
| Identifiers | n/a |
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