Eye Doctors Optical Outlets Pa

LBN: Eye Doctors Optical Outlets Pa
Eye Doctors Optical Outlets Pa is an health care organization with primary practice located at 723 3Rd Street Southwest , Winter Haven FL 33880-3425. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Eye Doctors Optical Outlets Pa can be contacted via phone (863) 297-5067, or through Coppola, Robert C. via phone (954) 917-2337.

Contact Information

Primary practice address
723 3Rd Street Southwest Winter Haven FL 33880-3425
Phone: (863) 297-5067
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Coppola, Robert C. Doctor of Optometry (OD)
Phone: (954) 917-2337

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1891986865
LBN Legal business name Eye Doctors Optical Outlets Pa
DBA Doing business as
Authorized official Coppola, Robert C. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2007
Last updated Jan 27th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891986865 NPPES
Florida MEDICAID 620937820

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