Organization
PROFESSIONAL EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY MICHAEL STEELE (OWNER/CERTIFIED OPTICIAN)
(806) 792-2804
Entity
Organization
Contact information
Practice address
3813 22ND ST, SUITE 4, LUBBOCK, TX 79410-1199
(806) 792-2804
Mailing address
3813 22ND ST, SUITE 4, LUBBOCK, TX 79410-1199
(806) 792-2804
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
Update your record
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