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NPI Code Detail

MEDICARE: OPTICAL FASHION CENTERS INC

MEDICARE: OPTICAL FASHION CENTERS 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 : 1669528493
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTICAL FASHION CENTERS INC
Provider Business Mailing Address
First Line : 1395 RESEARCH PARK DR
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45432-2817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 761 LYONS RD
Second Line :
City : DAYTON
State : OH
Zip : 45459-3980
Country : US
Telephone Number : 937-434-7338
Fax Number :
Authorized Official
Title or Position : CONTROLLER
Name : MARITA MONTGOMERY
Credential :
Telephone Number : 937-429-2270
Provider Enumeration Date : 01/26/2007
Last Update Date : 08/22/2020

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Directions to “OPTICAL FASHION CENTERS INC ” Practice Location

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