Organization
OPTICAL DISTRICT LLC
Active
Other names
Optical District LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA VELASQUEZ (OWNER)
(239) 285-0832
Entity
Organization
Contact information
Practice address
4040 W WATERS AVE STE 106, TAMPA, FL 33614-8133
(727) 735-3839
Mailing address
4040 W WATERS AVE STE 106, TAMPA, FL 33614-8133
(727) 735-3839
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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