N & J Optical Supply Inc

NPI 1417131046 - Optometrist - 152W00000X

NPI Details
NPI 1417131046
Enumeration Date 12/18/2007
Last Updated 01/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name MICHAEL V. MICHAEL
Position PRESIDENT
Phone (712) 755-2150
Fax (712) 755-7555
Practice Location
2110 12TH ST
HARLAN IA, 51537-2056, US
Phone (712) 755-2150
Fax (712) 755-7555
Business Location
2110 12TH ST
PO BOX 270
HARLAN IA, 51537-2056, US
Phone (712) 755-2150
Fax (712) 755-7555
Toxanomy
Taxonomy Code 152W00000X
License State Iowa
License Number 01898
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According to our database, N & J Optical Supply Inc NPI is 1417131046, taxonomy code is 152W00000X and license number is 01898, license state is located at Iowa. N & J Optical Supply Inc physically located at 2110 12th St, Harlan IA, 51537-2056. NPI Number 1033115704 has the healthcare provider type.

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1417131046 NPI number is provided on an as is basis without warranty of any kind. 1417131046 is maintained by the National Plan & Provider Enumeration System. The contents of N & J Optical Supply Inc are for informational purposes only.