An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers |
| NPI # | 1104901578 |
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| LBN Legal business name | GREEN OPTICAL | ||||||||||||||||||||||||
| Authorized official | MICHAEL GREEN - (CHIEF PARTNER) | ||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||
| Enumeration date | 10/26/2006 | ||||||||||||||||||||||||
| Last updated | 04/06/2010 - About 16 years ago | ||||||||||||||||||||||||
| Identifiers |
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GREEN OPTICAL
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