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Organization
FOR EYES OPTICAL CO. OF PENNSYLVANIA
Active
Organization
FOR EYES OPTICAL CO. OF PENNSYLVANIA
Active
Other names
FOR EYES OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
1297 MOUNT ZION RD, MORROW, GA 30260-2339
(770) 960-9077
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
05/07/2018
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