Organization
SOC INC.
Active
Other names
Smith Optical Company Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY MICHAEL PIVINSKI RO (PRESIDENT)
(757) 539-5321
Entity
Organization
Contact information
Practice address
2016 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-5321
Mailing address
2016 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-5321
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
14600
VA
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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