Organization
OPTICAL UNIQUE LLC
Active
Organization
OPTICAL UNIQUE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMON GERSHOVICH (CEOGENERAL MANAGER)
(610) 649-1343
Entity
Organization
Contact information
Practice address
45 W LANCASTER AVE, ARDMORE, PA 19003-1408
(610) 564-0057
(610) 649-1343
Mailing address
45 W LANCASTER AVE, ARDMORE, PA 19003-1408
(610) 265-3880
(610) 649-1343
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
01/25/2012
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