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Contact Information

411 EYES, LLC.
1270 SAXON BLVD
SUITE 105
ORANGE CITY, FL32763-8418
 Phone: 386-774-5000
 Fax: 386-774-0444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for 411 EYES, LLC.

NPI Number 1184904260
LBN Legal business name 411 EYES, LLC.
Authorized official EDWARD UCCI - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/22/2011
Last updated 11/03/2011 - About 15 years ago
Identifiers
FL License # 2732
FL License # DO 5119
FL License # OE 2002
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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