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Organization
SPECIALIZED OPTICAL COMPANY
Active
Organization
SPECIALIZED OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS CLAUSSE OPTICIAN (OWNER)
(801) 393-9440
Entity
Organization
Contact information
Practice address
5735 HARRISON BLVD, SOUTH OGDEN, UT 84403-4324
(801) 393-9440
Mailing address
5735 HARRISON BLVD, SOUTH OGDEN, UT 84403-4324
(801) 393-9440
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
12/12/2007
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