National Provider Identifier Database

20 20 OPTICAL DISPENSATORY INC
Eyewear Supplier

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.


Contact Information

20 20 OPTICAL DISPENSATORY, INC.
1767 N UNIVERSITY DR
PLANTATION, FL33322-4111
Phone: 954-472-2422
Fax:
Website:
Specialty Taxonomy Code
* Eyewear Supplier 332H00000X

* Indicates primary specialty

NPI Profile & details for 20 20 OPTICAL DISPENSATORY, INC.

NPI Number 1093010696
Legal business name
LBN
20 20 OPTICAL DISPENSATORY, INC.
Authorized official GUILHERME WILLIAM DWIN - (DISPENSING OPTICIAN)
Entity Organization
Organization subpart No
Enumeration date 01/13/2011
Last updated 09/15/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 1171
  • FL Medicaid: GCG459EP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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