Organization
FREEDOM OPTICAL INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIE LYNNETTE HART SIDWELL LDO (PRESIDENT)
(321) 305-6647
Entity
Organization
Contact information
Practice address
4725 FAY BLVD, COCOA, FL 32927-8284
(321) 305-6647
(321) 208-8019
Mailing address
4725 FAY BLVD, COCOA, FL 32927-8284
(321) 305-6647
(321) 208-8019
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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