| NPI | 1184904260 |
|---|---|
| Doing Business As | 20/20 EYEGLASS SUPERSTORE, INC. |
| Entity Type | Organization |
| Authorized Contact | EDWARD UCCI General Manager 407-767-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: FL OE 2002) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 2732) |
| 332H00000X Eyewear Supplier (Licence: FL DO 5119) | |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-11-03 |