Organization Name: | OPTICAL GALERIE INC |
NPI Number: | 1184706939 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK CUBRANICH (PRESIDENT) |
Mailing Address: | 569 E Broad St Souderton |
State: | PA US |
Postal Code: | 189641217 |
Phone Number: | 2157232370 |
Fax Number: | 2157232370 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 6000001047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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. |