Organization
SEACREST OPTICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA SCHAINKIN L.D.O. (PRESIDENT OPTICIAN)
(561) 496-2020
Entity
Organization
Contact information
Practice address
7263 W ATLANTIC AVE, DELRAY BEACH, FL 33446-1305
(561) 496-2020
Mailing address
7263 W ATLANTIC AVE, DELRAY BEACH, FL 33446-1305
(561) 496-2020
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1531
FL
305R00000X
Preferred Provider Organization
1531
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111800
EYEMED ID NUMBER
FL
01
—
139145
EYE MED VISION CARE
FL
Enumeration date
03/19/2007
Last updated
11/07/2012
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