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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 # | 1477995074 |
| LBN Legal business name | EDGEBROOK VISION CENTER LLC |
| Authorized official | ROSEMARY KAFKA - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/24/2013 |
| Last updated | 07/24/2013 - About 13 years ago |
| Identifiers | n/a |
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EDGEBROOK VISION CENTER LLC
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EDGEBROOK VISION CENTER LLC