| NPI | 1215077557 |
|---|---|
| Doing Business As | 2020 EYEGLASS SUPERSTORE |
| Entity Type | Organization |
| Authorized Contact | EDWARD UCCI General Manager 321-259-3935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2732) |
| Additional Taxonomies | 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL DO5119) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: FL DO3652) | |
| 156FX1800X Technician/Technologist, Optician (Licence: FL DO5119) | |
| 156FX1800X Technician/Technologist, Optician (Licence: FL DO3652) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1487) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |