Organization
PK OPTICAL LLC
Active
Other names
American Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP A BASILE OPTICIAN (OPTICIAN)
(440) 943-6858
Entity
Organization
Contact information
Practice address
32313 VINE STREET, WILLOWICK, OH 44095-3371
(440) 943-6858
(440) 943-4082
Mailing address
32313 VINE STREET, WILLOWICK, OH 44095-3371
(440) 943-6858
(440) 943-4082
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
Update your record
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