Organization Name: | CLASSIC OPTICAL LABORATORIES, INC. |
NPI Number: | 1962476259 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY BARNES (ACCOUNTING ADMIN) |
Mailing Address: | 3710 Belmont Ave Youngstown |
State: | OH US |
Postal Code: | 445051406 |
Phone Number: | 3307598245 |
Fax Number: | 3307598300 |
NPI Enumeration Date: | 02/14/2006 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |