BRONZE OPTICAL, LLC; NPI #1396912325

Contact Information

BRONZE OPTICAL, LLC

1568 N FARWELL AVE
MILWAUKEE, WI 53202-2366

Phone: 414-221-7055
Fax: 414-221-7056
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BRONZE OPTICAL, LLC

NPI Number	`1396912325`
LBN Legal business name	BRONZE OPTICAL, LLC
Authorized official	EVERETTE QUINTON - (OPTICIAN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/08/2008
Last updated	05/08/2008 - About 18 years ago
Identifiers	n/a

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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