Professional Optical LLC

NPI #1790846533 in Petoskey, Michigan

Provider Information

NPI Number: 1790846533
Entity Type: Organization
Organization Name: Professional Optical LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 13, 2006
Last Updated: Jul 17, 2008

Practice Location

Address: 560 W MITCHELL ST
Address 2: SUITE#204
City: Petoskey
State: Michigan
ZIP Code: 49770-2275
Phone: (231) 487-0171

Authorized Official

Name: MR. DAVID DZIAK
Title: MEMBER
Phone: (231) 487-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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