Lg Optical Enterprises

NPI #1306016407 in Brookings, South Dakota

Provider Information

NPI Number: 1306016407
Entity Type: Organization
Organization Name: Lg Optical Enterprises
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 4, 2008
Last Updated: May 4, 2015

Practice Location

Address: 952 22ND AVE S
City: Brookings
State: South Dakota
ZIP Code: 57006-2830
Phone: (605) 692-8262

Authorized Official

Name: LYNN GANNON
Title: OWNER
Phone: (605) 692-8262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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