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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 # | 1255034070 |
| LBN Legal business name | BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY |
| Authorized official | DOLSIE MCDONALD - (CREDENTIALING MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/22/2023 |
| Last updated | 03/22/2023 - About 3 years ago |
| Identifiers | n/a |
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BLUE WAVE EYE DOCTORS PROFESSIONAL LIMITED LIABILITY COMPANY