# HOMETOWN SPECS EMPORIUM, INC.

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

## Provider details

- **NPI number:** 1598981565
- **Authorized official:** DR. BRADLEY JACKSON SMURR OD (PRESIDENT)
- **Authorized official phone:** (352) 521-3011

## Contact information

- **Practice address:** 13940 7TH ST, DADE CITY, FL 33525-4904
- **Practice address phone:** (352) 521-3011
- **Practice address fax:** (352) 521-7163
- **Mailing address:** 13940 7TH ST, DADE CITY, FL 33525-4904
- **Mailing address phone:** (352) 521-3011
- **Mailing address fax:** (352) 521-7163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2393 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/21/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20246 | BCBS | FL |
| 01 | — | 4609006 | AETNA | — |