Organization · NPI-2
20/20 Eyeglass Superstore, INC.
Eyewear Supplier (Equipment, not the service) · Winter Park, FL
NPI number1356489918
StatusActive
Last updated in NPPESAug 31, 2011
Details
- NPI
- 1356489918
- Entity type
- Organization (NPI-2)
- Legal business name
- 20/20 Eyeglass Superstore, INC.
- Organization subpart
- No
- Enumeration date
- Feb 2, 2007
- Last updated
- Aug 31, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | OE874 | FL | Yes |
| 152W00000X | Optometrist | 0844 | FL | |
| 156FC0801X | Technician/Technologist, Contact Lens Fitter | DO 5119 | FL | |
| 156FC0801X | Technician/Technologist, Contact Lens Fitter | DO 2187 | FL | |
| 156FX1800X | Technician/Technologist, Optician | DO 2187 | FL | |
| 156FX1800X | Technician/Technologist, Optician | DO 5119 | FL | |
| 332H00000X | Eyewear Supplier (Equipment, not the service) | OE 874 | FL |
Practice location
1555 N. Semoran Blvd.Suite 1221
Winter Park, FL 32792
Phone 407-767-5600 · Fax 407-331-0277
Mailing address
1555 N. Semoran Blvd.Suite 1221
Winter Park, FL 32792
Phone 407-767-5600 · Fax 407-331-0277
Authorized official
Edward Ucci
General Manager
4077675600
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