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Alvernon Optical, INC.

Eyewear Supplier (Equipment, not the service) in Tucson, AZ. Organization (NPI-2).

NPI number1366569766
StatusActive
Last updated in NPPESOct 30, 2008

Details

NPI
1366569766
Entity type
Organization (NPI-2)
Legal business name
Alvernon Optical, INC.
Organization subpart
No
Enumeration date
Mar 23, 2007
Last updated
Oct 30, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)813AZYes

Practice location

4747 E Sunrise Dr
Tucson, AZ 85718-8500

Phone 520-299-4000 · Fax 520-577-7656

Mailing address

4747 E Sunrise Dr
Tucson, AZ 85718-8500

Phone 520-299-4000 · Fax 520-577-7656

Authorized official

Stacia A Decker
Vp Of Retail
5203276215

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