Organization
THE EYEGLASS MAN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN LEVINE (PRES./OPTICIAN)
(954) 721-5520
Entity
Organization
Contact information
Practice address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
(954) 721-5520
Mailing address
5865 N UNIVERSITY DR, TAMARAC, FL 33321-4617
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
FL1019
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942314364
NPI
FL
05
—
630291200
—
FL
Enumeration date
12/14/2007
Last updated
12/14/2007
Update your record
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