Palm Coast Eyewear, Llc

LBN: Palm Coast Eyewear, Llc
Palm Coast Eyewear, Llc is an health care organization with primary practice located at 5601 21St Ave W Suite C, Bradenton FL 34209-5642. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Palm Coast Eyewear, Llc can be contacted via phone (941) 794-1001, or through Nichols, Lisa Renee via phone (941) 794-2020.

Contact Information

Primary practice address
5601 21St Ave W Suite C Bradenton FL 34209-5642
Phone: (941) 794-1001
Fax: (941) 794-3280
Website:
Map and Directions
Authorized official contact:
Name: Nichols, Lisa Renee
Phone: (941) 794-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X DO1765 Florida

Profile Details

NPI number 1396960415
LBN Legal business name Palm Coast Eyewear, Llc
DBA Doing business as
Authorized official Nichols, Lisa Renee
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated May 8th, 2008 - about 18 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 1396960415 NPPES
Florida Other DO1765 OPTICIAN LICENSE

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