Organization
CGREAT LLC
Active
Other names
Optical Fashions
Organization subpart
No
Provider details
NPI number
Authorized official
MARITA MONTGOMERY (CONTROLLER)
(937) 429-2270
Entity
Organization
Contact information
Practice address
3617 DAYTON XENIA RD, BEAVERCREEK, OH 45432-2828
(937) 429-2270
(937) 429-5344
Mailing address
3617 DAYTON XENIA RD, BEAVERCREEK, OH 45432-2828
(937) 429-2270
(937) 429-5343
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
03/19/2021
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