Organization
OPTICAL LABORATORY LLC
Active
Other names
Pinkoson Hazouri Optical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJORIE HAZOURI (MANAGER)
(352) 376-5563
Entity
Organization
Contact information
Practice address
618 SW 4TH AVENUE, GAINESVILLE, FL 32601
(352) 376-5563
(352) 376-8783
Mailing address
618 SW 4TH AVENUE, GAINESVILLE, FL 32601
(352) 376-5563
(352) 376-8783
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
OE0000362
FL
332H00000X
Eyewear Supplier
Primary
29463
FL
Other
Enumeration date
08/26/2006
Last updated
03/17/2009
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