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NPI Code Detail

MEDICARE: QUALITY EYEWEAR OPTICIANS, INC.

MEDICARE: QUALITY EYEWEAR OPTICIANS, 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
1332BC3200XCustomized Equipment (DME)DE

General Provider Information

NPI Number : 1770767618
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY EYEWEAR OPTICIANS, INC.
Provider Business Mailing Address
First Line : 4705 KIRKWOOD HWY
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-5007
Country : US
Telephone Number : 302-994-6770
Fax Number : 302-994-6312
Provider Business Practice Location Address
First Line : 4705 KIRKWOOD HWY
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-5007
Country : US
Telephone Number : 302-994-6770
Fax Number : 302-994-6312
Authorized Official
Title or Position : VICE PRESIDENT/OPTICIAN
Name : MR. WAYNE A. COBURN
Credential :
Telephone Number : 302-994-6770
Provider Enumeration Date : 12/27/2007
Last Update Date : 03/04/2008

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Directions to “QUALITY EYEWEAR OPTICIANS, INC. ” Practice Location

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