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Organization

INSTITUTIONAL EYE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ZACHARY LOSE (MEMBER)
(866) 604-2931
Entity
Organization

Contact information

Practice address
27499 RIVERVIEW CENTER BLVD STE 429, BONITA SPRINGS, FL 34134-4342
(866) 604-2931
Mailing address
PO BOX 366550, BONITA SPRINGS, FL 34136-6550

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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