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Organization

VISIONARY OPTOMETRY INC

Active
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Organization

VISIONARY OPTOMETRY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICAH R GIRARD OD (OPTOMETRIST/PRESIDENT)
(321) 638-3931
Entity
Organization

Contact information

Practice address
1941 MICHIGAN AVE, COCOA, FL 32922-5728
(321) 638-3931
Mailing address
1941 MICHIGAN AVE, COCOA, FL 32922-5728
(321) 638-3931

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3800
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620988200
FL
Enumeration date
12/07/2007
Last updated
03/01/2013
About Stedi
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