Organization
PRECISION OPTICAL LABORATORY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CELESTE ANNE GARCIA-PEREA (PARTNER)
(505) 897-2468
Entity
Organization
Contact information
Practice address
5115 COORS BLVD., N.W., SUITE E, ALBUQUERQUE, NM 87120-1926
(505) 897-2468
(505) 897-8207
Mailing address
5115 COORS BLVD., N.W., SUITE E, ALBUQUERQUE, NM 87120-1926
(505) 897-2468
(505) 897-8207
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
02-422969-00-001
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0779
VISION SERVICE PLAN
—
01
—
627
VISION BENEFITS OF AMERICA
—
Enumeration date
04/08/2009
Last updated
04/08/2009
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