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Organization

OPTICAL DESIGN, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. S C JOINER (OPTICIAN)
(602) 995-5883
Entity
Organization

Contact information

Practice address
1530 W GLENDALE AVE, #101, PHOENIX, AZ 85021-8578
(602) 995-5883
(602) 995-3365
Mailing address
1530 W GLENDALE AVE, #101, PHOENIX, AZ 85021-8578
(602) 995-5883
(602) 995-3365

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
269
AZ
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
09/21/2007
Last updated
09/21/2007
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