Organization Name: | EYESHOPPE OF ORLANDO, LLC |
NPI Number: | 1396049607 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT HERNANDEZ UYCOCO (MANAGER/OPTICIAN) |
Mailing Address: | 10209 E Colonial Dr 130 Orlando |
State: | FL US |
Postal Code: | 328174306 |
Phone Number: | 4073827701 |
Fax Number: | 4073827702 |
NPI Enumeration Date: | 12/29/2010 |
NPI Last Update Date: | 12/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OE1930 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |