Optical Outfitters, Llc

LBN: Optical Outfitters, Llc
Optical Outfitters, Llc is an health care organization with primary practice located at 242 Harbor Village Ln , Apollo Beach FL 33572-3424. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Optical Outfitters, Llc can be contacted via phone (813) 645-2022, or through Yaeckel, Catherine via phone (813) 645-2022.

Contact Information

Primary practice address
242 Harbor Village Ln Apollo Beach FL 33572-3424
Phone: (813) 645-2022
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yaeckel, Catherine Doctor of Optometry (OD)
Phone: (813) 645-2022

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4515 Florida

Profile Details

NPI number 1922497916
LBN Legal business name Optical Outfitters, Llc
DBA Doing business as
Authorized official Yaeckel, Catherine Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2015
Last updated Jul 15th, 2015 - about 11 years ago

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 1922497916 NPPES
Florida MEDICAID 002695100
Florida Other DP715Z

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