# USV OPTICAL INC

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

## Provider details

- **NPI number:** 1598941932
- **Authorized official:** RANDI WOERNER (PROFESSIONAL RELATIONS MANAGER)
- **Authorized official phone:** (856) 228-1000

## Contact information

- **Practice address:** 1800 COASTAL GRAND CIR, MYRTLE BEACH, SC 29577-9782
- **Practice address phone:** (843) 626-1879
- **Practice address fax:** (856) 227-7119
- **Mailing address:** 1 HARMON DR, BLACKWOOD, NJ 08012-5103
- **Mailing address phone:** (856) 228-1000
- **Mailing address fax:** (856) 718-3572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332H00000X | Eyewear Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 01/16/2008
- **Last updated:** 02/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 157891008 | BILLING NPI | — |