Organization
OPTIQUE UNIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH BARRY SMITH OPTICIAN (OPTICIAN)
(321) 729-4340
Entity
Organization
Contact information
Practice address
880 N MIRAMAR AVE, INDIALANTIC, FL 32903-3054
(321) 729-4340
Mailing address
880 N MIRAMAR AVE, INDIALANTIC, FL 32903-3054
(321) 729-4340
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2197
FL
Other
Enumeration date
02/05/2008
Last updated
03/10/2008
Update your record
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