# MILLENNIUM EYE CENTER, INC.

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

## Provider details

- **NPI number:** 1790721652
- **Authorized official:** DR. MARIE LAURETTA SEIDE-JUSTIN O.D. (PRESIDENT)
- **Authorized official phone:** (407) 292-9812

## Contact information

- **Practice address:** 6601 OLD WINTER GARDEN RD, SUIT 104, ORLANDO, FL 32835-1221
- **Practice address phone:** (407) 292-9812
- **Practice address fax:** (407) 292-9813
- **Mailing address:** 6601 OLD WINTER GARDEN RD, SUIT 104, ORLANDO, FL 32835-1221
- **Mailing address phone:** (407) 292-9812
- **Mailing address fax:** (407) 292-9813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC003955 | FL | Yes |

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 06/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621147000 | — | FL |