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Organization

FOR EYES OPTICAL CO. OF PENNSYLVANIA

Active
Other names
FOR EYES OPTICAL
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization

Contact information

Practice address
1297 MOUNT ZION RD, MORROW, GA 30260-2339
(770) 960-9077
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
10/26/2006
Last updated
05/07/2018
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