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Stephen Mason

Technician/Technologist, Optician in Port Charlotte, FL. Individual provider (NPI-1).

NPI number1093907784
StatusActive
Last updated in NPPESOct 22, 2007

Details

NPI
1093907784
Entity type
Individual (NPI-1)
Name
Mr. Stephen Mason
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2007
Last updated
Oct 22, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianOE702FLYes

Practice location

4265 Tamiami Trl
Suite G
Port Charlotte, FL 33980-2152

Phone 941-625-6602 · Fax 941-625-0021

Mailing address

4265 Tamiami Trl
Suite G
Port Charlotte, FL 33980-2152

Phone 941-625-6602 · Fax 941-625-0021

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Other Optician providers in Port Charlotte, FL

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