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Organization

HUB OPTICAL DISTRIBUTING CO INC

Active
Other names
The Optical Dispensary
Organization subpart
No

Provider details

NPI number
Authorized official
LISA E SALGANIK (ADMINISTRATOR)
(254) 752-1081
Entity
Organization

Contact information

Practice address
3713 FRANKLIN AVE, WACO, TX 76710-7329
(254) 752-1081
(254) 752-1463
Mailing address
3713 FRANKLIN AVE, WACO, TX 76710-7329
(254) 752-1081
(254) 752-1463

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3388T
TX
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093145302
TX
01
TXB125858
MEDICARE PTAN (PHYSICIAN)
TX
Enumeration date
03/09/2007
Last updated
06/04/2013
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