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NPI Code Detail

MEDICARE: COLUMBUS OPTICAL COMPANY, LTD.

MEDICARE: COLUMBUS OPTICAL COMPANY, LTD.
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
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124085477
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS OPTICAL COMPANY, LTD.
Provider Business Mailing Address
First Line : 100 SWEETBRIAR DR
Second Line :
City : COLUMBUS
State : TX
Zip : 78934-3008
Country : US
Telephone Number : 979-732-5771
Fax Number : 979-732-6922
Provider Business Practice Location Address
First Line : 2879 HIGHWAY 36 S
Second Line :
City : SEALY
State : TX
Zip : 77474-4342
Country : US
Telephone Number : 979-885-0665
Fax Number : 979-885-4110
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : ROBERT G BURTON
Credential :
Telephone Number : 979-732-5771
Provider Enumeration Date : 04/28/2006
Last Update Date : 04/07/2016

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Directions to “COLUMBUS OPTICAL COMPANY, LTD. ” Practice Location

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