Organization · NPI-2

Unique Eyewear, LLC

Technician/Technologist, Optician · Dearborn Heights, MI

NPI number1790056158
StatusActive
Last updated in NPPESJan 17, 2012

Details

NPI
1790056158
Entity type
Organization (NPI-2)
Legal business name
Unique Eyewear, LLC
Organization subpart
No
Enumeration date
Jan 17, 2012
Last updated
Jan 17, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

21349 Powers Ave
Dearborn Heights, MI 48125-2763

Phone 734-556-0090

Mailing address

21349 Powers Ave
Dearborn Heights, MI 48125-2763

Phone 734-556-0090

Authorized official

Chrystal L Lyson
Owner
7345560090

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