Organization Name: | UNIQUE-U LLC |
NPI Number: | 1013002492 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JERAMIAH THOMAS DONELSON (OWNER) |
Mailing Address: | 163 James Way Marion |
State: | OH US |
Postal Code: | 43302 |
Phone Number: | 7403891300 |
Fax Number: | |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 03/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | S7159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |