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Organization

FOR EYES OPTICAL OF PENNSYLVANIA

Active
Other names
FOR EYES OPTICAL
Organization subpart
No

Provider details

NPI number
Authorized official
KIM GRIFFIN (MANAGER)
(305) 557-9004
Entity
Organization

Contact information

Practice address
1847 SOUTH PARK BLVD, COLONIAL HEIGHTS, VA 23834
(804) 526-3591
(804) 526-3597
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

Other identifiers
Code
Description
Identifier
Issuer
State
05
009281088
VA
Enumeration date
10/31/2006
Last updated
02/21/2020
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