Organization · NPI-2

20/20 Optical INC

Technician/Technologist, Optician · Fort Myers, FL

NPI number1811237845
StatusActive
Last updated in NPPESFeb 28, 2013

Details

NPI
1811237845
Entity type
Organization (NPI-2)
Legal business name
20/20 Optical INC
Organization subpart
No
Enumeration date
Feb 28, 2013
Last updated
Feb 28, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, OpticianDO5670FLYes

Practice location

2336 Cleveland Ave
Fort Myers, FL 33901-3540

Phone 239-288-7450 · Fax 239-288-7451

Mailing address

2336 Cleveland Ave
Fort Myers, FL 33901-3540

Phone 239-288-7450 · Fax 239-288-7451

Authorized official

Elier Gonzalez
Owner
2392887450

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