Organization
FOR EYES OPTICAL OF PA
Active
Other names
For Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFRY MARTIN (VP)
(305) 557-9004
Entity
Organization
Contact information
Practice address
1725 K ST NW, WASHINGTON, DC 20006-1401
(202) 463-8860
Mailing address
285 W 74TH PL, HIALEAH, FL 33014-5058
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
01/24/2008
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