# THE OPTICAL OUTLET INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578957148
- **Authorized official:** JILL PAINE (OWNER)
- **Authorized official phone:** (215) 840-6121

## Contact information

- **Practice address:** 5667 YORK RD, RTE 202 \#7, LAHASKA, PA 18931
- **Practice address phone:** (215) 840-6121
- **Practice address fax:** (267) 224-4450
- **Mailing address:** PO BOX 404, LAHASKA, PA 18931-0404
- **Mailing address phone:** (215) 840-6121
- **Mailing address fax:** (267) 224-4450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 03/23/2015
- **Last updated:** 03/23/2015