Organization
OCEAN OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY RAY NOLAN (OWNER/LICENSED OPTICIAN)
(386) 423-2239
Entity
Organization
Contact information
Practice address
600 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1659
(386) 423-2239
Mailing address
600 N RIDGEWOOD AVE, EDGEWATER, FL 32132-1659
(386) 423-2239
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
2275
FL
Other
Enumeration date
04/09/2008
Last updated
04/25/2008
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