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Organization
SIGHT AND SUN EYEWORKS LLC
Active
Organization
SIGHT AND SUN EYEWORKS LLC
Active
Parent organization
SIGHT AND SUN EYEWORKS LLC
Other names
CLARKSON EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGHT AND SUN EYEWORKS LLC
Authorized official
EDITH VIVIANA SALAS AMA, CPO (CREDENTIALING COORDINATOR)
(850) 479-7379
Entity
Organization
Contact information
Practice address
12591 SORRENTO RD, STE B, PENSACOLA, FL 32507-8752
(636) 200-4393
(850) 497-0733
Mailing address
15933 CLAYTON RD, SUITE 201, BALLWIN, MO 63011-2172
(850) 479-7379
(850) 497-6219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001650400
—
FL
01
—
97937
FLORIDA BLUE
FL
Enumeration date
11/16/2006
Last updated
06/12/2019
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