Organization Name: | BALDWIN OPTICAL AND HEARING AID COMPANY LLC |
NPI Number: | 1184919599 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YUN KOL PAK (SOLE MEMBER) |
Mailing Address: | 310 E Laurel Ave Foley |
State: | AL US |
Postal Code: | 365352618 |
Phone Number: | 2519431758 |
Fax Number: | 2519437999 |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 008831 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |