For Eyes Optical Co of Pennsylvania

NPI #1003399445 in Wauwatosa, Wisconsin

Provider Information

NPI Number: 1003399445
Entity Type: Organization
Organization Name: For Eyes Optical Co of Pennsylvania
Primary Specialty: Eyewear Supplier
Enumeration Date: Sep 12, 2018
Last Updated: Sep 12, 2018

Practice Location

Address: 11450 W. BURLEIGH ST
City: Wauwatosa
State: Wisconsin
ZIP Code: 53222
Phone: (305) 557-9004

Authorized Official

Name: KIM GRIFFIN
Title: MANAGER
Phone: (305) 557-9004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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