# INLET OPTICAL BOUTIQUE INC

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

## Provider details

- **NPI number:** 1427255918
- **Authorized official:** THOMAS HANNAN (VICE PRESIDENT OPTICIAN)
- **Authorized official phone:** (561) 746-5910

## Contact information

- **Practice address:** 103 S US HWY 1, SUITE B2, JUPITER, FL 33477
- **Practice address phone:** (561) 746-5910
- **Practice address fax:** (561) 746-3268
- **Mailing address:** 467 NE 10TH ST, BOCA RATON, FL 33432-2937
- **Mailing address phone:** (561) 395-2671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | DO1417 | FL | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 07/20/2007