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The Eyeglass Man INC.

Prosthetic/Orthotic Supplier in Tamarac, FL. Organization (NPI-2).

NPI number1003099862
StatusActive
Last updated in NPPESDec 14, 2007

Details

NPI
1003099862
Entity type
Organization (NPI-2)
Legal business name
The Eyeglass Man INC.
Organization subpart
No
Enumeration date
Dec 14, 2007
Last updated
Dec 14, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic SupplierFL1019FLYes

Practice location

5865 N University Dr
Tamarac, FL 33321-4617

Phone 954-721-5520

Mailing address

5865 N University Dr
Tamarac, FL 33321-4617

Authorized official

Martin Levine
Pres./Optician
9547215520

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