Organization · Type 2 NPI

Essilor Laboratories of America, Inc

Eyewear Supplier · Bristol, TN

NPI number 1437359452 Active

Practice location

1528 Edgemont Ave
Bristol, TN 37620-4304

Call (800) 888-2544 Map

Mailing address

13515 N Stemmons Fwy
Dallas, TX 75234-5765

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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NPI record

NPI: 1437359452
Entity type: Organization (Type 2)
Issued: Jul 18, 2007
Last updated: Aug 3, 2007
Status: Active
Subpart: Yes of Eoa Holding Co., Inc.

Other names

<unavail>
Southern Optical · doing business as

Authorized official

Real Goulet
Sr. Vice President, National Labs
(214) 496-4105

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437359452

Essilor Laboratories of America, Inc's National Provider Identifier is 1437359452, issued on Jul 18, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bristol, TN. The record was last updated on Aug 3, 2007.