Organization
MAYFAIR REGENCY INC.
Active
Other names
MAYFAIR OPTICIANS INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN PAUL LOCKERMAN OPTICIAN (PRESIDENT)
(904) 725-2020
Entity
Organization
Contact information
Practice address
9430 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8231
(904) 725-2020
(904) 725-4262
Mailing address
9430 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8231
(904) 725-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO9859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0789680001
OPTICAL FILL OUT FORMS 1500 FOR CUSTOMERS
FL
Enumeration date
06/18/2008
Last updated
06/18/2008
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