Organization · NPI-2
Mobile Optical INC
Technician/Technologist, Optician · Bowie, MD
NPI number1104351881
StatusActive
Last updated in NPPESMay 1, 2017
Details
- NPI
- 1104351881
- Entity type
- Organization (NPI-2)
- Legal business name
- Mobile Optical INC
- Organization subpart
- No
- Enumeration date
- May 1, 2017
- Last updated
- May 1, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | – | – | Yes |
Practice location
12407 Sussex LnBowie, MD 20715-3148
Phone 443-926-4435
Mailing address
477 86th AveSt Pete Beach, FL 33706-1532
Phone 443-926-4435
Authorized official
Donna Feger
Owner
4439264435
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