# FIRST IMAGE OPTICAL LC

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

## Provider details

- **NPI number:** 1194256545
- **Authorized official:** GEORGE L NEAL (PRESIDENT)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 5743 WILLIAMSBURG LN, WILDWOOD, FL 34785-8129
- **Practice address phone:** (352) 744-7002
- **Mailing address:** 17562 US HIGHWAY 441, MOUNT DORA, FL 32757-6711
- **Mailing address phone:** (352) 735-2020
- **Mailing address fax:** (352) 735-5187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 03/27/2017
- **Last updated:** 02/05/2020