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NPI Code Detail

MEDICARE: HOMER OPTICAL COMPANY, INC.

MEDICARE: HOMER OPTICAL COMPANY, 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

General Provider Information

NPI Number : 1255522934
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMER OPTICAL COMPANY, INC.
Provider Business Mailing Address
First Line : 13515 N STEMMONS FWY
Second Line :
City : DALLAS
State : TX
Zip : 75234-5765
Country : US
Telephone Number : 800-843-3937
Fax Number :
Provider Business Practice Location Address
First Line : 2401 LINDEN LN
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-1230
Country : US
Telephone Number : 800-842-8622
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT, PARTNER LABS
Name : RICK LONG
Credential :
Telephone Number : 214-496-4040
Provider Enumeration Date : 08/07/2007
Last Update Date : 08/07/2007

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Directions to “HOMER OPTICAL COMPANY, INC. ” Practice Location

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