Specialized Optical Company
NPI #1194914010 in South Ogden, Utah
Provider Information
- NPI Number
- 1194914010
- Entity Type
- Organization
- Organization Name
- Specialized Optical Company
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Dec 12, 2007
Practice Location
- Address
- 5735 HARRISON BLVD
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84403-4324
- Phone
- (801) 393-9440
Authorized Official
- Name
- MR. ROSS CLAUSSE, OPTICIAN
- Title
- OWNER
- Phone
- (801) 393-9440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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