| Organization Name: | COMMUNITY EYE OPTICAL LC |
| NPI Number: | 1508181165 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY MCKAY BURNETTE (PRACTICE ADMINISTRATOR) |
| Mailing Address: | 2825 Tamiami Trl Bldg. B Suite 3 & 4 Punta Gorda |
| State: | FL US |
| Postal Code: | 339507269 |
| Phone Number: | 9413478346 |
| Fax Number: | 9413478326 |
| NPI Enumeration Date: | 04/07/2010 |
| NPI Last Update Date: | 04/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | 79133 |
| 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. |