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1871686667
PHYSICIANS OPTICAL LAB INC
MELBOURNE, FL
NPI
1871686667
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Entity Type
Organization
Authorized Contact
WILLIAM J BROUSSARD
President
321-727-2020
Organization Subpart ?
No
Primary Taxonomy
332H00000X Eyewear Supplier
Enumeration Date
2006-10-02
Last Update Date
2020-08-22
Business Address
PHYSICIANS OPTICAL LAB INC
502 E NEW HAVE AVE
MELBOURNE, FL 32901-5427
Phone number: 321-722-3715
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Mailing Address
PHYSICIANS OPTICAL LAB INC
502 E NEW HAVE AVE
MELBOURNE, FL 32901-5427
Phone number: 321-722-3715
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