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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