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Spectacle Shop, Inc.
Durable Medical Equipment & Medical Supplies in Charlottesville, Virginia
NPI 1215942792

Spectacle Shop, Inc. is a Durable Medical Equipment & Medical Supplies based in Hammond, VA. Spectacle Shop, Inc. practices in Charlottesville, VA. The NPI Number for Spectacle Shop, Inc. is 1215942792 and holds a License No. 1101000736 (Virginia).

The current practice location address for Spectacle Shop, Inc. is 1047 Millmont St, Charlottesville, VA and can be reached out via phone at 434-979-7730 and via fax at 434-977-7512. You can also correspond with Spectacle Shop, Inc. through the mailing address at 20251 LONG LAKE DRIVE, HAMMOND, LA - 70403-8607 (mailing address contact number: 985-520-5005).

Location: 1047 Millmont St, Charlottesville, VA, 70403-8607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215942792
Provider Name
Spectacle Shop, Inc.
Credential
Provider Entity Type
Organization
Address
1047 Millmont St, Charlottesville, VA, 70403-8607
Phone Number
434-979-7730
Fax Number
434-977-7512
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009280006 05 VA
institution
Provider Business Practice Location Address Details
Address
1047 Millmont St
City
Charlottesville
State
Virginia
Zip
22903-4866
Phone Number
434-979-7730
Fax Number
434-977-7512
person
Provider Business Mailing Address Details
Address
20251 Long Lake Drive
City
Hammond
State
Louisiana
Zip
70403-8607
Phone Number
985-520-5005
Fax Number
985-520-5060
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
1101000736 (Virginia)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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