Organization
LAKE CITY OPTICAL CO INC
Active
Other names
EYEGLASS EXPRESS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE T FLATER OPTICIAN (PRESIDENT/G.M.)
(352) 332-3937
Entity
Organization
Contact information
Practice address
295 NW COMMONS LOOP, #105, LAKE CITY, FL 32055-7709
(386) 752-3733
(386) 755-2400
Mailing address
1132 NW 76TH BLVD, GAINESVILLE, FL 32606-6749
(352) 332-3937
(352) 332-0435
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
06/03/2009
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