Organization
SCUBA OPTICS, INC
Active
Other names
Discount Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W KLOMANN ABOM (OWNER)
(815) 625-7272
Entity
Organization
Contact information
Practice address
1405 8TH AVE, ROCK FALLS, IL 61071-2814
(815) 625-7272
Mailing address
1405 8TH AVE, ROCK FALLS, IL 61071-2814
(815) 625-7272
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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