Organization
DEL OPTICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAMES PETRYKOWSKI O.D. (OWNER)
(740) 344-4747
Entity
Organization
Contact information
Practice address
1494 W MAIN ST, NEWARK, OH 43055-1825
(740) 927-8152
Mailing address
1494 W MAIN ST, NEWARK, OH 43055-1825
(740) 927-8152
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4222
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934958
—
OH
Enumeration date
09/25/2006
Last updated
10/31/2009
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