Eye Doctors Optical Outlets Pa

LBN: Eye Doctors Optical Outlets Pa
Eye Doctors Optical Outlets Pa is an health care organization with primary practice located at 7 Eagle Ridge Dr , Lake Wales FL 33859. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Doctors Optical Outlets Pa can be contacted via phone (863) 676-0911, or through Lewenson, Robert via phone (813) 885-3937.

Contact Information

Primary practice address
7 Eagle Ridge Dr Lake Wales FL 33859
Phone: (863) 676-0911
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lewenson, Robert Doctor of Optometry (OD)
Phone: (813) 885-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1043401938
LBN Legal business name Eye Doctors Optical Outlets Pa
DBA Doing business as
Authorized official Lewenson, Robert Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Mar 29th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043401938 NPPES
Florida MEDICAID 620937809

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