Organization Name: | METRO MEDICAL PLAZA OPTICAL |
NPI Number: | 1801113725 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL GUILLERMO ACOSTA (LICENSED OPTICIAN) |
Mailing Address: | 13691 Metro Pkwy Suite 100 Fort Myers |
State: | FL US |
Postal Code: | 339124327 |
Phone Number: | 2393342015 |
Fax Number: | 2399360047 |
NPI Enumeration Date: | 05/02/2010 |
NPI Last Update Date: | 05/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |