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Organization
OPTIC SHOPPE DME
Active
Organization
OPTIC SHOPPE DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA M PREBECK (VP OF OPERATIONS)
(727) 581-8767
Entity
Organization
Contact information
Practice address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 581-8767
(727) 581-8507
Mailing address
1301 2ND AVE SW, LARGO, FL 33770-3120
(727) 581-8767
(727) 581-8507
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
05/11/2016
Last updated
11/25/2020
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