# SALT OPTICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Salt Optical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760913552
- **Authorized official:** KIRSTEN ELISE DUNN A.B.O. (MASTER OPTICIAN)
- **Authorized official phone:** (817) 807-2873

## Contact information

- **Practice address:** 1499 REGAL ROW STE 409, DALLAS, TX 75247-3634
- **Practice address phone:** (972) 629-9853
- **Practice address fax:** (972) 637-7376
- **Mailing address:** 1499 REGAL ROW STE 409, DALLAS, TX 75247-3634
- **Mailing address phone:** (972) 629-9853
- **Mailing address fax:** (972) 637-7376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2017
- **Last updated:** 03/23/2017