Organization Name: | KONDRAY OPTICAL LLC |
NPI Number: | 1174524268 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ILDIKO T KONDRAY (OWNER) |
Mailing Address: | 12000 Mccracken Rd Ste 101 Garfield Hts |
State: | OH US |
Postal Code: | 441252964 |
Phone Number: | 2165810470 |
Fax Number: | 2165810474 |
NPI Enumeration Date: | 08/10/2005 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 18-483106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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. |