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Contact Information

EYE DOCTORS OPTICAL OUTLETS PA
4133 S. TAMIAMI TRAIL
VENICE, FL34293
 Phone: 941-492-9181
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for EYE DOCTORS OPTICAL OUTLETS PA

NPI # 1740471705
LBN Legal business name EYE DOCTORS OPTICAL OUTLETS PA
Authorized official ROBERT COPPOLA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/06/2007
Last updated 01/29/2025 - More than a year ago
Identifiers
FL Medicaid 620937818
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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