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Organization

JOB OPTICAL, INC.

Active
Other names
Downtown Eyewear
Organization subpart
No

Provider details

NPI number
Authorized official
JODI LYNN WAGNER ABO CERTIFIED (OFFICE MANAGER/ OPTICIAN)
(269) 687-2800
Entity
Organization

Contact information

Practice address
211 N 2ND ST, NILES, MI 49120-2220
(269) 687-2800
(269) 687-2800
Mailing address
211 N 2ND ST, NILES, MI 49120-2220
(269) 687-2800
(269) 687-2800

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
IN
332H00000X
Eyewear Supplier
Primary
MI

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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