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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up