Organization · NPI-2

V: Optical Laboratory, INC.

Eyewear Supplier (Equipment, not the service) · Albany, GA

NPI number1487821435

StatusActive

Last updated in NPPESMay 9, 2008

Details

NPI: 1487821435
Entity type: Organization (NPI-2)
Legal business name: V: Optical Laboratory, INC.
Organization subpart: No
Enumeration date: May 9, 2008
Last updated: May 9, 2008

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
332H00000X	Eyewear Supplier (Equipment, not the service)	–	–	Yes

Practice location

2234 Palmyra Rd
Albany, GA 31701-1322

Phone 229-888-3772 · Fax 229-888-3688

Mailing address

2234 Palmyra Rd
Albany, GA 31701-1322

Phone 229-888-3772 · Fax 229-888-3688

Authorized official

Somphavanh Vinavong
Owner/President
2298883772

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