# LLY VISION SERVICES INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134499452
- **Authorized official:** DR. LOUIS YARDLEY JR. O.D. (PRESIDENT)
- **Authorized official phone:** (850) 240-2021

## Contact information

- **Practice address:** 300 MARY ESTHER BLVD, STE. \#47, MARY ESTHER, FL 32569-1693
- **Practice address phone:** (850) 664-6339
- **Mailing address:** PO BOX 5836, DESTIN, FL 32540-5836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2570 | FL | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 01/19/2012