Ole Brook Optical, INC

NPI #1568536415 in Brookhaven, Mississippi

Provider Information

NPI Number: 1568536415
Entity Type: Organization
Organization Name: Ole Brook Optical, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 20, 2006
Last Updated: Jan 15, 2010

Practice Location

Address: 401 HWY 51 SOUTH
City: Brookhaven
State: Mississippi
ZIP Code: 39601
Phone: (601) 833-3318

Authorized Official

Name: MR. THOMAS T SMITH, CERTIFIED OPTICIAN
Title: PRESIDENT
Phone: (601) 833-3318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Eyewear Supplier	332H00000X	Primary

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