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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 Number | 1619155736 |
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| LBN Legal business name | EAST MONTGOMERY OPTICAL SHOPPE | ||||||||
| Authorized official | WILSON PAULK - (PHYSICAN / OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/31/2008 | ||||||||
| Last updated | 05/11/2011 - About 15 years ago | ||||||||
| Identifiers |
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EAST MONTGOMERY OPTICAL SHOPPE