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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 # | 1689607467 |
| LBN Legal business name | EYEWEAR BOUTIQUE, INC |
| Authorized official | DAVID PERICH - (ADM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/08/2006 |
| Last updated | 08/23/2012 - About 14 years ago |
| Identifiers | n/a |
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EYEWEAR BOUTIQUE, INC
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EYEWEAR BOUTIQUE, INC