Eagle Optical Co.
Eyewear Supplier (Equipment, not the service) in Tampa, FL. Organization (NPI-2).
NPI number1578747309
StatusActive
Last updated in NPPESFeb 1, 2008
Details
- NPI
- 1578747309
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Optical Co.
- Organization subpart
- No
- Enumeration date
- Dec 28, 2007
- Last updated
- Feb 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | DO 2954 | FL | Yes |
Practice location
1410 E Fletcher AveTampa, FL 33612-3668
Phone 813-977-4801
Mailing address
1410 E Fletcher AveTampa, FL 33612-3668
Phone 813-977-4801
Authorized official
Roger Wayne Frey
President
8139774801
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