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Organization
SALGANIK OPTICAL INC
Active
Organization
SALGANIK OPTICAL INC
Active
Other names
Salganik Vision Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA SALGANIK (ADMINISTRATOR)
(254) 752-1081
Entity
Organization
Contact information
Practice address
2201 W LOOP 340, SUITE 100, WACO, TX 76712-6856
(254) 420-3937
(254) 420-2575
Mailing address
3713 FRANKLIN AVE, WACO, TX 76710-7329
(254) 752-1081
(254) 752-1463
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6596320001
MEDICARE DMEPOS PTAN
TX
01
—
TXB138982
MEDICARE PTAN (PHYSICIAN)
TX
Enumeration date
05/10/2011
Last updated
06/04/2013
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