Organization Name: | SSJ INCORPORATED |
NPI Number: | 1154542496 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS C MANDO (OWNER) |
Mailing Address: | 375 Thomas More Pkwy Crestview Hills |
State: | KY US |
Postal Code: | 410172176 |
Phone Number: | 8593415383 |
Fax Number: | 8593413504 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |