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Organization

SPECIALIZED OPTICAL COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROSS CLAUSSE OPTICIAN (OWNER)
(801) 393-9440
Entity
Organization

Contact information

Practice address
5735 HARRISON BLVD, SOUTH OGDEN, UT 84403-4324
(801) 393-9440
Mailing address
5735 HARRISON BLVD, SOUTH OGDEN, UT 84403-4324
(801) 393-9440

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/16/2007
Last updated
12/12/2007
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