Organization
CENTRAL FLORIDA OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY D STUART LDO (LICENSED OPTICIAN)
(407) 896-8990
Entity
Organization
Contact information
Practice address
1900 N ORANGE AVE, ORLANDO, FL 32804-5531
(407) 896-8990
(407) 896-6034
Mailing address
1900 N ORANGE AVE, ORLANDO, FL 32804-5531
(407) 896-8990
(407) 896-6034
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
DO6032
FL
156FX1800X
Optician
DO6032
FL
332H00000X
Eyewear Supplier
Primary
DO6032
FL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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