The Optical Shop Inc.

NPI 1063588374 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1063588374
Enumeration Date 11/28/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TOM TOM
Position OWNER
Phone (605) 692-5173
Fax (605) 692-6710
Practice Location
112 22ND AVE S
BROOKINGS SD, 57006-2600, US
Phone (605) 692-5173
Fax (605) 692-6710
Business Location
112 22ND AVE S
BROOKINGS SD, 57006-2600, US
Phone (605) 692-5173
Fax (605) 692-6710
Toxanomy
Taxonomy Code 156FX1800X
License State South Dakota
License Number 05001=========EST001
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According to our database, The Optical Shop Inc. NPI is 1063588374, taxonomy code is 156FX1800X and license number is 05001=========EST001, license state is located at South Dakota. The Optical Shop Inc. physically located at 112 22nd Ave S, Brookings SD, 57006-2600. NPI Number 1033115704 has the healthcare provider type.

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1063588374 NPI number is provided on an as is basis without warranty of any kind. 1063588374 is maintained by the National Plan & Provider Enumeration System. The contents of The Optical Shop Inc. are for informational purposes only.