Organization · NPI-2

Eyeglass World

Technician/Technologist, Optician · Lakeland, FL

NPI number1780021048
StatusActive
Last updated in NPPESMay 28, 2013

Details

NPI
1780021048
Entity type
Organization (NPI-2)
Legal business name
Eyeglass World
Organization subpart
Yes
Enumeration date
May 28, 2013
Last updated
May 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

3635 Us Highway 98 N
Lakeland, FL 33809-3808

Phone 863-937-9045 · Fax 863-940-9944

Mailing address

296 Grayson Hwy
Lawrenceville, GA 30046-5737

Phone 800-571-5202

Authorized official

Colton Ritter
Analyst
6788923760

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