LEWISBURG OPTICAL NPI 1972838340

NPI Information

LEWISBURG OPTICAL is an eyewear supplier in Lewisburg, OH. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LEWISBURG OPTICAL NPI is 1972838340. The provider is registered as an organization entity type.

The provider's business location address is:

210 N COMMERCE ST
LEWISBURG, OH
ZIP 45338-343
Phone: (937) 962-4444
Fax: (937) 962-4443

The provider's authorized official is Robin Shiverdecker .
The authorized official title is Licensed Optician/owner and has the following contact phone number (937) 962-4444.

The CLIA number assigned to this NPI record is 36D0897576 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2009 and was last updated on 10/2/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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