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Organization

OPTIMART, INC.

Active
Other names
OPTIMART, INC. #10
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY LOUIS MATHIS (ADMINISTRATOR)
(727) 812-3020
Entity
Organization

Contact information

Practice address
5115 34TH ST S, ST PETERSBURG, FL 33711-4515
(727) 866-6506
(727) 866-6742
Mailing address
4399 35TH ST N, ST PETERSBURG, FL 33714-3717
(727) 812-3020
(727) 525-4835

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
OE369
FL

Other

Enumeration date
05/17/2007
Last updated
08/22/2020
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