# EYEGLASSES ETC

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

## Provider details

- **NPI number:** 1962563379
- **Authorized official:** CYNTHIA J SUSI (PRES)
- **Authorized official phone:** (407) 380-2020

## Contact information

- **Practice address:** 7326 LAKE UNDERHILL RD, ORLANDO, FL 32822
- **Practice address phone:** (407) 380-2020
- **Practice address fax:** (407) 381-8112
- **Mailing address:** 7326 LAKE UNDERHILL RD, ORLANDO, FL 32822
- **Mailing address phone:** (407) 380-2020
- **Mailing address fax:** (407) 381-8112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 08/22/2020