Organization
BRIDGES OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIDGES (OWNER)
(863) 682-3226
Entity
Organization
Contact information
Practice address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 682-3226
(863) 682-1742
Mailing address
1600 LAKELAND HILLS BLVD, LAKELAND, FL 33805-3019
(863) 682-3226
(863) 682-1742
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1564
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D2069
BCBS
FL
Enumeration date
12/30/2006
Last updated
11/02/2009
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