| |
1550 E Venice Ave, Venice, FL 34292-1661 | |
(941) 792-2020 | |
(941) 782-1089 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1550 E Venice Ave, Venice, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104293026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 162264, Altamonte Springs, FL 32716-2264 Ph: (941) 792-2020 | 1550 E Venice Ave, Venice, FL 34292-1661 Ph: (941) 792-2020 |