Organization
BSA INDUSTRIES, INC.
Active
Other names
Select Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELBERT M LOTHES III (PRESIDENT)
(614) 310-1820
Entity
Organization
Contact information
Practice address
6510 HUNTLEY ROAD, COLUMBUS, OH 43229-1012
(614) 846-5750
(614) 846-6063
Mailing address
6510 HUNTLEY ROAD, COLUMBUS, OH 43229-1012
(614) 846-5750
(614) 846-6063
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145006
—
OH
Enumeration date
05/04/2007
Last updated
05/26/2011
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