Organization Name: | OPTICAL GALLERY, LLC |
NPI Number: | 1306019062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J THILGES (PARTOWNER/MANAGER) |
Mailing Address: | 3923 S 48th St Lincoln |
State: | NE US |
Postal Code: | 685064318 |
Phone Number: | 4024883106 |
Fax Number: | 4024883329 |
NPI Enumeration Date: | 04/02/2008 |
NPI Last Update Date: | 05/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |