Organization
CTAA, LLC
Active
Other names
Eagle Eye Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ANZALONE (PRESIDENT)
(561) 837-2228
Entity
Organization
Contact information
Practice address
7050 W PALMETTO PARK RD STE 25, BOCA RATON, FL 33433-3462
(561) 837-2228
(561) 837-2229
Mailing address
7050 W PALMETTO PARK RD STE 25, BOCA RATON, FL 33433-3462
(561) 837-2228
(561) 837-2229
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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