20 20 Optical Dispensatory, INC.
Eyewear Supplier (Equipment, not the service) in Plantation, FL. Organization (NPI-2).
NPI number1093010696
StatusActive
Last updated in NPPESSep 15, 2011
Details
- NPI
- 1093010696
- Entity type
- Organization (NPI-2)
- Legal business name
- 20 20 Optical Dispensatory, INC.
- Organization subpart
- No
- Enumeration date
- Jan 13, 2011
- Last updated
- Sep 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | 1171 | FL | Yes |
Practice location
1767 N University DrPlantation, FL 33322-4111
Phone 954-472-2422
Mailing address
1767 N University DrPlantation, FL 33322-4111
Phone 954-472-2422
Authorized official
Guilherme William Dwin
Dispensing Optician
9544722422
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