Organization
COLUMBUS OPTICAL COMPANY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT G BURTON (CHIEF OPERATING OFFICER)
(979) 732-5771
Entity
Organization
Contact information
Practice address
2879 HIGHWAY 36 S, SEALY, TX 77474-4342
(979) 885-0665
(979) 885-4110
Mailing address
100 SWEETBRIAR DR, COLUMBUS, TX 78934-3008
(979) 732-5771
(979) 732-6922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141463306
—
TX
Enumeration date
04/28/2006
Last updated
04/07/2016
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