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NPI Profile for EDWARD MITCHELL JR in CRESTVIEW, FL.
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Eyewear Supplier |
332H00000X | 87 | All Other Suppliers | |
Contact Lens Fitter |
156FC0801X | |||
Optician |
156FX1800X | 96[5] | Optician |
| NPI Number | 1811139462 |
|
| Status | Active | |
| Credentials | LDO | |
| Entity | Individual | |
| Enumeration date | 03/28/2009 | |
| Last updated | 10/15/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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EDWARD MITCHELL JR
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EDWARD MITCHELL JR, LDO