Organization
411 EYES, LLC.
Active
Other names
20/20 Eyeglass Superstore, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD UCCI ABOC NCLE (GENERAL MANAGER)
(407) 767-5600
Entity
Organization
Contact information
Practice address
1270 SAXON BLVD, SUITE 105, ORANGE CITY, FL 32763-8418
(386) 774-5000
(386) 774-0444
Mailing address
1270 SAXON BLVD, SUITE 105, ORANGE CITY, FL 32763-8418
(386) 774-5000
(386) 774-0444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2732
FL
332H00000X
Eyewear Supplier
DO 5119
FL
332H00000X
Eyewear Supplier
Primary
OE 2002
FL
Other
Enumeration date
08/22/2011
Last updated
11/03/2011
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