| NPI | 1356459762 |
|---|---|
| Former Legal Business Name | PINKOSON HAZOURI OPTICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | MARJORIE HAZOURI Manager 352-376-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL 29463) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL OE0000362) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2009-03-17 |