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Organization
USV OPTICAL INC
Active
Organization
USV OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDI WOERNER (PROFESSIONAL RELATIONS MANAGER)
(856) 228-1000
Entity
Organization
Contact information
Practice address
12300 SE 82ND AVE, PORTLAND, OR 97266-7717
(503) 653-5935
Mailing address
1 HARMON DR, BLACKWOOD, NJ 08012-5103
(856) 228-1000
(856) 718-3572
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578891008
BILLING NPI
—
Enumeration date
07/25/2006
Last updated
02/06/2020
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