Southern Optical

NPI #1851599435 in Morrisville, North Carolina

Provider Information

NPI Number: 1851599435
Entity Type: Organization
Organization Name: Southern Optical
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 5, 2007
Last Updated: Aug 10, 2007

Practice Location

Address: 860 AVIATION PKWY STE 1300
City: Morrisville
State: North Carolina
ZIP Code: 27560-7399
Phone: (800) 969-8256

Authorized Official

Name: REAL GOULET
Title: SR. VICE PRESIDENT, NATIONAL LABS
Phone: (214) 496-4105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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