Organization
MISADA INC
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GARY PLUMB LDO (VP)
(863) 413-0200
Entity
Organization
Contact information
Practice address
1371 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 413-0200
(863) 413-0227
Mailing address
1371 TOWN CENTER DR, LAKELAND, FL 33803-7964
(863) 413-0200
(863) 413-0227
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO5653
FL
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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