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Organization
DCJ COMPANY
Active
Organization
DCJ COMPANY
Active
Other names
Pro Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL HASELTON OPTICIAN (OWNER)
(603) 298-5517
Entity
Organization
Contact information
Practice address
200 S MAIN ST, SUITE 11, WEST LEBANON, NH 03784-2014
(603) 298-5517
(603) 298-7898
Mailing address
200 S MAIN ST, SUITE 11, WEST LEBANON, NH 03784-2014
(603) 298-5517
(603) 298-7898
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000922
—
VT
05
—
30008903
—
NH
Enumeration date
07/03/2006
Last updated
07/21/2022
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