Organization
CLEAR VISION OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID ELSEBOUGH OPTICIAN (PRESIDENT)
(352) 596-6769
Entity
Organization
Contact information
Practice address
12991 CORTEZ BLVD, BROOKSVILLE, FL 34613-4884
(352) 596-6769
(352) 596-6769
Mailing address
12991 CORTEZ BLVD, BROOKSVILLE, FL 34613-4884
(352) 596-6769
(352) 596-6769
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE0000267
FL
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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