Organization
OPTIMART, INC.
Active
Other names
OPTIMART, INC. #08
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LOUIS MATHIS (ADMINISTRATOR)
(727) 812-3020
Entity
Organization
Contact information
Practice address
10041A US HIGHWAY 19, PORT RICHEY, FL 34668-3742
(727) 868-0780
(727) 868-0819
Mailing address
4399 35TH ST N, ST PETERSBURG, FL 33714-3717
(727) 812-3020
(727) 525-4835
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OE391
FL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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