Organization · NPI-2

Fadea INC

Technician/Technologist, Optician · Lakeland, FL

NPI number1215052477
StatusActive
Last updated in NPPESJun 21, 2018

Details

NPI
1215052477
Entity type
Organization (NPI-2)
Legal business name
Fadea INC
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Jun 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO4437FLYes
156FX1800X Technician/Technologist, OpticianDO 5653FL

Other names

  • Pearle Vision (Doing Business As)

Practice location

1371 Town Center Dr
Lakeland, FL 33803-7964

Phone 863-413-0200 · Fax 863-413-0227

Mailing address

1371 Town Center Dr
Lakeland, FL 33803-7964

Phone 863-413-0200 · Fax 863-413-0227

Authorized official

Frank Plumb
Owner
8634130200

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