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Organization
TAMPA BAY OPTICAL INC.
Active
Organization
TAMPA BAY OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGELIO BERDEAL JR. BS OD (PRESIDENT)
(813) 877-2400
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE STE 204, TAMPA, FL 33614-7146
(813) 877-2400
(813) 877-2402
Mailing address
4710 N HABANA AVE STE 204, TAMPA, FL 33614-7146
(813) 877-2400
(813) 877-2402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
10/08/2010
Last updated
01/16/2018
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