Organization
FOR EYES OPTICAL OF PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
6401 BACKLICK RD, SPRINGFIELD, VA 22150-2634
(703) 719-9102
Mailing address
3601 SW 160TH AVE, SUITE 400, MIRAMAR, FL 33027-6308
(305) 557-9004
(855) 881-9434
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1101003283
VA
Other
Enumeration date
01/26/2007
Last updated
02/26/2020
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