Organization
FOR EYES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP WOLMAN (OWNER)
(305) 557-9004
Entity
Organization
Contact information
Practice address
2708 VIRGINIA BEACH BLVD, LYNNHAVEN CONVENIENCE CENTER, VIRGINIA BEACH, VA 23452-7615
(757) 995-0092
Mailing address
PO BOX 102472, ATLANTA, GA 30368-2472
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/13/2013
Last updated
10/01/2013
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