Optical Laboratory, LLC
NPI #1568602258 in Gainesville, Florida
Provider Information
- NPI Number
- 1568602258
- Entity Type
- Organization
- Organization Name
- Optical Laboratory, LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 20, 2009
- Last Updated
- Mar 17, 2009
Practice Location
- Address
- 618 SW 4TH AVE
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32601-6429
- Phone
- (352) 376-5563
Authorized Official
- Name
- MS. MARJORIE O. HAZOURI
- Title
- MANAGER
- Phone
- (352) 331-2727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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