Peter C Smith
Eyewear Supplier (Equipment, not the service) in Clearwater, FL. Organization (NPI-2).
NPI number1427267673
StatusActive
Last updated in NPPESApr 8, 2008
Details
- NPI
- 1427267673
- Entity type
- Organization (NPI-2)
- Legal business name
- Peter C Smith
- Organization subpart
- No
- Enumeration date
- May 22, 2007
- Last updated
- Apr 8, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | me57479 | FL | Yes |
Practice location
610 Lakeview RdClearwater, FL 33756-3336
Phone 727-446-7578 · Fax 727-447-1716
Mailing address
610 Lakeview RdClearwater, FL 33756-3336
Phone 727-446-7578 · Fax 727-447-1716
Authorized official
Peter C. Smith
Supervisor
7274467578
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All 16 Eyewear Supplier providers in Clearwater · All 6,156 providers in Clearwater
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