# COCONUT CREEK OPTICAL INC.

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

## Provider details

- **NPI number:** 1649441981
- **Authorized official:** ROBERT GOLDSMITH (OPTICIAN)
- **Authorized official phone:** (954) 975-0009

## Contact information

- **Practice address:** 5351 LYONS RD, COCONUT CREEK, FL 33073-2825
- **Practice address phone:** (954) 975-0009
- **Practice address fax:** (954) 975-0416
- **Mailing address:** 5351 LYONS RD, COCONUT CREEK, FL 33073-2825
- **Mailing address phone:** (954) 975-0009
- **Mailing address fax:** (954) 975-0416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | FL1722 | FL | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/09/2017