Optical Laboratory LLC
NPI #1356459762 in Gainesville, Florida
Provider Information
- NPI Number
- 1356459762
- Entity Type
- Organization
- Organization Name
- Optical Laboratory LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Aug 26, 2006
- Last Updated
- Mar 17, 2009
Practice Location
- Address
- 618 SW 4TH AVENUE
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32601
- Phone
- (352) 376-5563
Authorized Official
- Name
- MS. MARJORIE HAZOURI
- Title
- MANAGER
- Phone
- (352) 376-5563
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
| Eyewear Supplier |
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