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Contact Information

OPTICAL LABORATORY LLC
618 SW 4TH AVENUE
GAINESVILLE, FL32601
 Phone: 352-376-5563
 Fax: 352-376-8783
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for OPTICAL LABORATORY LLC

NPI # 1356459762
LBN Legal business name OPTICAL LABORATORY LLC
Authorized official MARJORIE HAZOURI - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/26/2006
Last updated 03/17/2009 - About 17 years ago
Identifiers
FL License # 29463
FL License # OE0000362
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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