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Organization

OPTICAL OUTLET OF BELVIDER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE L NIEVES (OWNER)
(815) 397-5940
Entity
Organization

Contact information

Practice address
2026 N STATE ST # H, BELVIDERE, IL 61008-1957
(815) 312-3195
(866) 441-1133
Mailing address
2026 N STATE ST # H, BELVIDERE, IL 61008-1957
(815) 312-3195
(866) 441-1133

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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