Organization
BALDWIN OPTICAL AND HEARING AID COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YUN KOL PAK ABOC; BC-HIS (SOLE MEMBER)
(251) 943-1758
Entity
Organization
Contact information
Practice address
310 E LAUREL AVE, FOLEY, AL 36535-2618
(251) 943-1758
(251) 943-7999
Mailing address
310 E LAUREL AVE, FOLEY, AL 36535-2618
(251) 943-1758
(251) 943-7999
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
008831
—
332S00000X
Hearing Aid Equipment
Primary
4055
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679683528
BLUE CROSS AND BLUE SHIELD
AL
Enumeration date
06/14/2011
Last updated
06/20/2011
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