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1174204275
EYEDENTITY OPTICAL
LARGO, FL
NPI
1174204275
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Entity Type
Organization
Authorized Contact
LOUIS MICHAELOS
Owner
727-585-2200
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2023-07-31
Last Update Date
2023-07-31
Business Address
EYEDENTITY OPTICAL
1030 W BAY DR STE 201
LARGO, FL 33770-3276
Phone number: 727-585-2200
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Mailing Address
EYEDENTITY OPTICAL
1030 W BAY DR STE 201
LARGO, FL 33770-3276
Phone number: 727-585-2200
Copy
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