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Contact Information

CHILDREN'S EYEWEAR CENTER, INC
1717 S ORANGE AVE
ORLANDO, FL32806
 Phone: 407-422-6798
 Fax: 407-992-7053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for CHILDREN'S EYEWEAR CENTER, INC

NPI Number 1700379385
LBN Legal business name CHILDREN'S EYEWEAR CENTER, INC
Authorized official MARK MANDESE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/08/2018
Last updated 08/10/2018 - About 8 years ago
Identifiers
FL License # DO3019
FL Medicaid 100145900
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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