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Tjsupper Enterprises, INC. Dba The Optical Shoppe

Eyewear Supplier (Equipment, not the service) in Oldsmar, FL. Organization (NPI-2).

NPI number1154776672
StatusActive
Last updated in NPPESMay 3, 2016

Details

NPI
1154776672
Entity type
Organization (NPI-2)
Legal business name
Tjsupper Enterprises, INC. Dba The Optical Shoppe
Organization subpart
No
Enumeration date
May 3, 2016
Last updated
May 3, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

180 Race Track Rd N Unit 32
Oldsmar, FL 34677-3211

Phone 727-804-3412 · Fax 813-855-3636

Mailing address

6260 31st Ter N
St Petersburg, FL 33710-2402

Phone 727-804-3412 · Fax 727-345-5502

Authorized official

Tim J. Supper
Owner/ Optician
7278043412

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