CUSTOM OPTICAL OF FONDREN LLC

Eyewear Supplier

Active Organization
NPI: 1467622605

Practice Address

661 DULING AVE
Jackson, MS 39216

Phone: (601) 362-6675

Specialties

Specialty Code Primary License
Eyewear Supplier 332H00000X Yes -

Frequently Asked Questions

NPI 1467622605 is the National Provider Identifier for CUSTOM OPTICAL OF FONDREN LLC, a Eyewear Supplier provider located in Jackson, MS. This NPI was enumerated on March 4, 2008.

Quick Facts

NPI
1467622605
Type
Organization
Enumerated
Mar 4, 2008
Last Updated
Apr 29, 2022

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