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Elite Optical INC

Eyewear Supplier (Equipment, not the service) in Merrillville, IN. Organization (NPI-2).

NPI number1245304476
StatusActive
Last updated in NPPESMar 5, 2008

Details

NPI
1245304476
Entity type
Organization (NPI-2)
Legal business name
Elite Optical INC
Organization subpart
No
Enumeration date
Nov 20, 2006
Last updated
Mar 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

8510 Broadway
Merrillville, IN 46410

Phone 219-756-5020 · Fax 219-736-2222

Mailing address

8510 Broadway
Merrillville, IN 46410

Phone 219-756-5020 · Fax 219-736-2222

Authorized official

Eldi E Deschamps
President
2197362200

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