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Organization
EYEGLASSES ETC
Active
Organization
EYEGLASSES ETC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA J SUSI (PRES)
(407) 380-2020
Entity
Organization
Contact information
Practice address
7326 LAKE UNDERHILL RD, ORLANDO, FL 32822
(407) 380-2020
(407) 381-8112
Mailing address
7326 LAKE UNDERHILL RD, ORLANDO, FL 32822
(407) 380-2020
(407) 381-8112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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