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NPI 1699063149 · Eyewear Supplier · Dover, DE
Provider details
- NPI number
- 1699063149
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michelle Burdeaux, Administrator(302) 677-0019
Specialties & taxonomies
Suppliers
Practice location
70 Wayne Dr
Dover, DE 19901-4956
Phone: (302) 677-0019
Approximate (ZIP-level) locationGet directions
Mailing address
70 Wayne Dr
Dover, DE 19901-4956
Registry dates
- Enumerated
- 2011-07-19
- Last updated
- 2011-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.