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NPI Code Detail

MEDICARE: USV OPTICAL INC

MEDICARE: USV OPTICAL INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11578891008OTHERBILLING NPI

General Provider Information

NPI Number : 1730101221
Entity Type Code : Organization
Provider Name (Legal Business Name) : USV OPTICAL INC
Provider Business Mailing Address
First Line : 1 HARMON DR
Second Line :
City : BLACKWOOD
State : NJ
Zip : 08012-5103
Country : US
Telephone Number : 856-228-1000
Fax Number : 856-718-3572
Provider Business Practice Location Address
First Line : 1201 LAKE WOODLANDS DR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-5000
Country : US
Telephone Number : 281-292-4513
Fax Number :
Authorized Official
Title or Position : PROFESSIONAL RELATIONS MANAGER
Name : RANDI WOERNER
Credential :
Telephone Number : 856-228-1000
Provider Enumeration Date : 07/24/2006
Last Update Date : 01/29/2020

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Directions to “USV OPTICAL INC ” Practice Location

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