Northport Optical, Inc.

NPI #1194893123 in Hannibal, Missouri

Provider Information

NPI Number: 1194893123
Entity Type: Organization
Organization Name: Northport Optical, Inc.
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 30, 2006
Last Updated: Nov 17, 2009

Practice Location

Address: 3 NORTHPORT PLZ
City: Hannibal
State: Missouri
ZIP Code: 63401-2269
Phone: (573) 221-2646

Authorized Official

Name: CARL W. ELSNER
Title: MANAGER
Phone: (573) 221-2646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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