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A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Optometrist |
152W00000X | 41 | Optometry |
| NPI # | 1255200184 |
| LBN Legal business name | EYECONIC VISION SI LLC |
| Authorized official | PINCHES DASKAL - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/30/2025 |
| Last updated | 10/30/2025 - About 7 months ago |
| Identifiers | n/a |
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EYECONIC VISION SI LLC