Organization
FASHION & QUALITY OPTICS L.L.C
Active
Parent organization
FASHION & QUALITY OPTICS L.L.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
FASHION & QUALITY OPTICS L.L.C
Authorized official
MR. MICHAEL GRUMAN OPTICIAN (OWNER)
(215) 677-1201
Entity
Organization
Contact information
Practice address
11890 BUSTLETON AVE, PHILADELPHIA, PA 19116
(215) 677-1201
Mailing address
11890 BUSTLETON AVE, PHILADELPHIA, PA 19116
(215) 677-1201
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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