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 | 1659555860 |
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| LBN Legal business name | COLONIAL OPTICAL LLC | ||||
| Authorized official | TODD JUBIE - (OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/24/2007 | ||||
| Last updated | 04/23/2009 - About 17 years ago | ||||
| Identifiers |
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