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 | |
Contact Lens |
156FC0800X | |||
Contact Lens Fitter |
156FC0801X |
| NPI # | 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 |
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EYEWEAR BOUTIQUE
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