Organization
EYE ART, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIENE NICHOLS YZENAS (LICSENSED OPTICIAN)
(941) 365-4040
Entity
Organization
Contact information
Practice address
1219 S EAST AVE STE 107, SARASOTA, FL 34239-2351
(941) 365-4040
(941) 365-3957
Mailing address
1219 S EAST AVE STE 107, SARASOTA, FL 34239-2351
(941) 365-4040
(941) 365-3957
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4338690001
SUPPLIER NUMBER
FL
Enumeration date
07/03/2008
Last updated
07/03/2008
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