Organization Name: | OSCEOLA OPTIQUE |
NPI Number: | 1992839443 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEWELL RENEE CHANG (PRESIDENT) |
Mailing Address: | 3201 Ne Skyline Dr Suite D Jensen Beach |
State: | FL US |
Postal Code: | 349573912 |
Phone Number: | 7723344264 |
Fax Number: | 7723344265 |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OPC2950 |
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. |