Optical Center

NPI 1265759724 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1265759724
Enumeration Date 04/23/2010
Last Updated 04/23/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SUSAN SUSAN
Position MC ASSISTANT
Phone (337) 537-8679
Fax
Practice Location
7742 COLORADO AVE BLDG 850
FORT POLK LA, 71459-5306, US
Phone (337) 537-8679
Fax
Business Location
296 GRAYSON HWY
LAWRENCEVILLE GA, 30046-5737, US
Phone (770) 822-3600
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State
License Number
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According to our database, Optical Center NPI is 1265759724, taxonomy code is 156FX1800X Optical Center physically located at 7742 Colorado Ave Bldg 850, Fort Polk LA, 71459-5306. NPI Number 1033115704 has the healthcare provider type.

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1265759724 NPI number is provided on an as is basis without warranty of any kind. 1265759724 is maintained by the National Plan & Provider Enumeration System. The contents of Optical Center are for informational purposes only.