Organization
JUSTIN OPTICAL ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN M WEININGER OPTICIAN (PRESIDENT)
(954) 432-5000
Entity
Organization
Contact information
Practice address
2068 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3608
(954) 432-5000
(954) 432-5001
Mailing address
2068 N UNIVERSITY DR, PEMBROKE PINES, FL 33024-3608
(954) 432-5000
(954) 432-5001
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO602
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086659800
—
FL
Enumeration date
03/28/2008
Last updated
10/02/2008
Update your record
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