Organization
BON VIVANT SAFETY EYEWEAR COMPANY INC
Active
Other names
OPTIMA VISION CENTER, LensRx Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELISE FIRMIN OD (CMO)
(267) 259-9620
Entity
Organization
Contact information
Practice address
22 WINDSOR AVE, ELKINS PARK, PA 19027-2959
(267) 259-9620
Mailing address
22 WINDSOR AVE, ELKINS PARK, PA 19027-2959
(267) 259-9620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/18/2023
Last updated
12/20/2023
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