Organization
OLE OPTICAL LABORATORY EXPRESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. XAVIER ALFONSO MONCAYO COMT (OWNER)
(703) 420-8121
Entity
Organization
Contact information
Practice address
8328 SHOPPERS SQ, MANASSAS, VA 20111-2174
(703) 420-8121
Mailing address
3577 SHADY PINES ST, FREDERICK, MD 21704-6907
(202) 603-9450
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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