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Contact Information

AMELIA ISLAND OPTICS, LLC
1523 SADLER RD
FERNANDINA BEACH, FL32034-4467
 Phone: 904-261-5955
 Fax: 904-261-5956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for AMELIA ISLAND OPTICS, LLC

NPI # 1619393915
LBN Legal business name AMELIA ISLAND OPTICS, LLC
Authorized official ROCKATONIA BRADLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2014
Last updated 12/16/2020 - About 5 years ago
Identifiers
FL License # OPC1462
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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