Organization Name: | SEE BY THE SEA OPTICAL |
NPI Number: | 1740643089 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BENJAMIN STRUM (OWNER/ LICENSED OPTICIAN) |
Mailing Address: | 235 Commercial Blvd Ste 103 Lauderdale By The Sea |
State: | FL US |
Postal Code: | 333084430 |
Phone Number: | 9544915818 |
Fax Number: | 9544915819 |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | DO 6047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |