OPTICAL OUTLET INC IV; NPI #1104046267

Contact Information

OPTICAL OUTLET INC IV

319 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34984

Phone: 772-878-1414
Fax: 772-878-0118
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for OPTICAL OUTLET INC IV

NPI # 1104046267

LBN Legal business name OPTICAL OUTLET INC IV

Authorized official LORRAINE ARTEAGA - (LICENSED OPTICIAN OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/30/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

DO3422

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OPTICAL OUTLET INC IV

Contact Information

Specialty

Optician

NPI Profile & details for OPTICAL OUTLET INC IV

Reviews for OPTICAL OUTLET INC IV