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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 | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI Number | 1609045921 |
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| LBN Legal business name | GARY J. MELLON ,O.D.,P.C. | ||||
| Authorized official | GARY MELLON - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/21/2008 | ||||
| Last updated | 02/26/2008 - About 18 years ago | ||||
| Identifiers |
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GARY J. MELLON ,O.D.,P.C.