# PARADISE EYES LLC

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

## Provider details

- **NPI number:** 1952157521
- **Authorized official:** DR. MORGAN CHAMPAGNE (O.D./ OWNER)
- **Authorized official phone:** (239) 293-8709

## Contact information

- **Practice address:** 4555 14TH ST W, BRADENTON, FL 34207-1429
- **Practice address phone:** (813) 455-4325
- **Mailing address:** 23436 COCONUT RUM COURT, BONITA SPRINGS, FL 34134
- **Mailing address phone:** (239) 293-8709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 01/30/2025
