Organization
OPTICAL EYELAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PINCKNEY BAYLY (PRESIDENT)
(407) 880-0335
Entity
Organization
Contact information
Practice address
730 S ORANGE BLOSSOM TRL, APOPKA, FL 32703-6558
(407) 880-0335
(407) 880-6782
Mailing address
730 S ORANGE BLOSSOM TRL, APOPKA, FL 32703-6558
(407) 880-0335
(407) 880-6782
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO5279
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630280700
—
FL
Enumeration date
08/08/2006
Last updated
03/06/2015
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