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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 # | 1205933611 |
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| LBN Legal business name | COLUMBIA PARK MEDICAL GROUP, PA | ||||||||||||||||
| Authorized official | JOEN CONDON - (CHIEF FINANCIAL OFFICER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||
| Enumeration date | 09/20/2006 | ||||||||||||||||
| Last updated | 11/13/2007 - About 19 years ago | ||||||||||||||||
| Identifiers |
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COLUMBIA PARK MEDICAL GROUP, PA