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Contact Information

20 20 OPTICAL DISPENSATORY, INC.
1767 N UNIVERSITY DR
PLANTATION, FL33322-4111
 Phone: 954-472-2422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

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

NPI # 1093010696
LBN Legal business name 20 20 OPTICAL DISPENSATORY, INC.
Authorized official GUILHERME WILLIAM DWIN - (DISPENSING OPTICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2011
Last updated 09/15/2011 - About 15 years ago
Identifiers
FL License # 1171
FL Medicaid GCG459EP
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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