Organization
20-10 OPTICAL, LLC
Active
Other names
20/10 Optical
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DAVIS MUNGENAST L.D.O. (MGRM)
(941) 833-9044
Entity
Organization
Contact information
Practice address
121 E MARION AVE, SUITE 111, PUNTA GORDA, FL 33950-3635
(941) 833-9044
Mailing address
121 E MARION AVE, SUITE 111, PUNTA GORDA, FL 33950-3635
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE 1978
FL
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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