Organization
EYESAVERS EYEWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MAINELLA (OWNER OPTICIAN)
(561) 514-1865
Entity
Organization
Contact information
Practice address
11951 SOUTHERN BLVD, ROYAL PALM BEACH, FL 33411-7619
(561) 514-1865
(561) 514-1855
Mailing address
11951 SOUTHERN BLVD, ROYAL PALM BEACH, FL 33411-7619
(561) 514-1865
(561) 514-1855
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
FL2073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4697730001
DMERC
FL
01
—
FL2073
EYEMED VISION CARE
FL
Enumeration date
03/01/2007
Last updated
08/22/2020
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