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Organization
LUND OPTICAL COMPANY
Active
Organization
LUND OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM G LUND JR. (OWNER)
(801) 375-1333
Entity
Organization
Contact information
Practice address
20 NO UNIVERSITY AVE, PROVO, UT 84601
(801) 375-1333
(801) 375-1348
Mailing address
20 NO UNIVERSITY AVE, PROVO, UT 84601
(801) 375-1333
(801) 375-1348
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990002164009
—
UT
Enumeration date
11/06/2006
Last updated
08/22/2020
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