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Contact Information

EYEWEAR BOUTIQUE
1902 MARYLAND AVE
WILMINGTON, DE19805-4605
 Phone: 302-442-3005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Contact Lens

156FC0800X
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for EYEWEAR BOUTIQUE

NPI Number 1932607298
LBN Legal business name EYEWEAR BOUTIQUE
Authorized official PAUL FLOWERS - (OWNER/ OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2018
Last updated 01/31/2018 - About 8 years ago
Identifiers
DE License # 20170920124
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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