Organization
LLY VISION SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS YARDLEY JR. O.D. (PRESIDENT)
(850) 240-2021
Entity
Organization
Contact information
Practice address
300 MARY ESTHER BLVD, STE. #47, MARY ESTHER, FL 32569-1693
(850) 664-6339
Mailing address
PO BOX 5836, DESTIN, FL 32540-5836
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2570
FL
Other
Enumeration date
01/03/2012
Last updated
01/19/2012
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