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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 # | 1568817955 |
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| LBN Legal business name | SUNDANCE OPTICAL | ||||
| Authorized official | PHILIP CLARK - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/04/2016 | ||||
| Last updated | 05/04/2016 - About 10 years ago | ||||
| Identifiers |
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SUNDANCE OPTICAL
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SUNDANCE OPTICAL