Organization
UNIVERSITY EYECARE, LLC
Active
Organization
UNIVERSITY EYECARE, LLC
Active
Other names
Spectacle Shop Outlet
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON DAVID BRIGHT OPTICIAN (PRESIDENT)
(434) 995-2240
Entity
Organization
Contact information
Practice address
410 E MARKET ST STE 103, CHARLOTTESVILLE, VA 22902-5214
(434) 995-2240
(434) 995-2241
Mailing address
20251 LONG LAKE DR, HAMMOND, LA 70403-0563
(985) 520-5005
(985) 520-5060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205144003
—
VA
Enumeration date
09/15/2010
Last updated
06/25/2023
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