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Organization

20 20 OPTICAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAKE CLINTON GOODWIN OPTICIAN (PRESIDENT)
(205) 424-2020
Entity
Organization

Contact information

Practice address
512 19TH ST N, BESSEMER, AL 35020-4821
(205) 424-2020
(205) 425-5665
Mailing address
512 19TH ST N, BESSEMER, AL 35020-4821
(205) 424-2020
(205) 425-5665

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
08007709
AL

Other

Enumeration date
03/06/2008
Last updated
12/14/2011
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