Organization
OPTICAL SHOP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W SMITH OD (OWNER)
(727) 824-7150
Entity
Organization
Contact information
Practice address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-7150
(727) 824-7190
Mailing address
601 7TH ST S, ST PETERSBURG, FL 33701-4704
(727) 824-7150
(727) 824-7190
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
12/29/2011
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