Organization
FADEA INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK PLUMB LDO (OWNER)
(863) 413-0200
Entity
Organization
Contact information
Practice address
1371 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 413-0200
(863) 413-0227
Mailing address
1371 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 413-0200
(863) 413-0227
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
DO 5653
FL
156FX1800X
Optician
Primary
DO4437
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223338
EYEMED VISION CARE
FL
01
—
39-80132227906
SALES TAX ID #
FL
Enumeration date
03/20/2007
Last updated
06/21/2018
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