Organization
K.S. OPTICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LESLIE PINKNEY OPTICIAN (STORE MANAGER/ OPTICIAN)
(215) 765-1264
Entity
Organization
Contact information
Practice address
1522 N BROAD ST, PHILADELPHIA, PA 19121-4340
(215) 765-1234
(215) 765-2881
Mailing address
1522 N BROAD ST, PHILADELPHIA, PA 19121-4340
(215) 765-1234
(215) 765-2881
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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