NPI 1699063149

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Organisation Eyewear Supplier Dover, DE

Practice location

Address: 70 Wayne Dr, Dover, DE 19901-4956
Phone: (302) 677-0019

Authorised official

Name: Michelle Burdeaux
Title: Administrator
Phone: (302) 677-0019

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

Other Eyewear Supplier providers in Delaware →

Registry record

NPI: 1699063149
Entity type: Organization
NPI issued: 19 Jul 2011
Record last updated: 19 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.