Organization
EYE DEAL OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATCHMAN HARDOWAR OD (PRESIDENT)
(407) 933-0082
Entity
Organization
Contact information
Practice address
1204 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4206
(407) 933-0082
(407) 933-0086
Mailing address
1204 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4206
(407) 933-0082
(407) 933-0086
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002880100
—
FL
Enumeration date
03/10/2014
Last updated
03/18/2014
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