Organization
JAN'S OPTICAL SHOP OF BEVERLY HILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CHRISTOPHER OPTICIAN (MANAGERING MEMBER)
(352) 746-2009
Entity
Organization
Contact information
Practice address
3603 N LECANTO HWY, BEVERLY HILLS, FL 34465-3503
(352) 746-2009
Mailing address
3603 N LECANTO HWY, BEVERLY HILLS, FL 34465-3503
(352) 746-2009
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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