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 | 1689794794 |
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| LBN Legal business name | DANIEL HEDLUND O. D | ||||||||||||||||||||||||||||||||
| Authorized official | DANIEL HEDLUND - (OWNER) | ||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||
| Enumeration date | 03/30/2007 | ||||||||||||||||||||||||||||||||
| Last updated | 02/21/2008 - About 18 years ago | ||||||||||||||||||||||||||||||||
| Identifiers |
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