Professional Optical LLC

Eyewear Supplier · Petoskey, MI

Organization Active NPI

NPI number 1790846533

Practice location

560 W Mitchell St
Suite#204
Petoskey, MI 49770-2275
Phone
(231) 487-0171

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NPI record

NPI
1790846533
Entity type
Organization (Type 2)
Enumeration date
December 13, 2006
Last updated
July 17, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X — —

Authorized official

Name
Mr. David Dziak
Title
Member
Phone
(231) 487-0171

About Professional Optical LLC

Professional Optical LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 560 W Mitchell St, Suite#204, Petoskey, MI 49770-2275. The NPI number 1790846533 was assigned on December 13, 2006 and the record was last updated on July 17, 2008.

The authorized official for this organization is Mr. David Dziak, Member.

Frequently asked questions

What is the NPI number of Professional Optical LLC?

The NPI number is 1790846533.

What is the phone number of Professional Optical LLC?

The phone number listed for the practice location is (231) 487-0171.

Where is Professional Optical LLC located?

560 W Mitchell St, Suite#204, Petoskey, MI 49770-2275.

What is the taxonomy code for Professional Optical LLC?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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