Organization
UMATILLA OPTICAL AND HEARING AID CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BASTONE (OWNER/PRESIDENT)
(352) 669-6888
Entity
Organization
Contact information
Practice address
570 HATFIELD DR, UMATILLA, FL 32784-8986
(352) 669-6888
Mailing address
570 HATFIELD DR, UMATILLA, FL 32784-8986
(352) 669-6888
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
FL3146
FL
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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