Organization
WIREGRASS OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA SMITH D.O. (OPTICIAN/OWNER)
(813) 991-6060
Entity
Organization
Contact information
Practice address
2533 WINDGUARD CIR STE 102, WESLEY CHAPEL, FL 33544-7348
(813) 991-6060
Mailing address
2533 WINDGUARD CIR STE 102, WESLEY CHAPEL, FL 33544-7348
(813) 991-6060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OE 2240
FL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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