Organization
MANUFACTURER DIRECT EYEWEAR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LOMBARDI (OWNER)
(954) 570-9293
Entity
Organization
Contact information
Practice address
142 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-3433
(954) 570-9293
Mailing address
142 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33441-3433
(954) 570-9293
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630363300
—
FL
Enumeration date
06/02/2008
Last updated
07/16/2008
Update your record
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