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Organization

SSJ INCORPORATED

Active
Other names
Mando's Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. THOMAS C MANDO OPTICIAN (OWNER)
(859) 341-5383
Entity
Organization

Contact information

Practice address
375 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-2176
(859) 341-5383
(859) 341-3504
Mailing address
500 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3454
(859) 341-5383
(859) 495-0607

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
KY
332H00000X
Eyewear Supplier

Other

Enumeration date
05/02/2007
Last updated
07/21/2022
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