Organization
VOLUSIA OPTICAL, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HETHER BUHLER (ADMINISTRATOR)
(386) 734-2931
Entity
Organization
Contact information
Practice address
975 TOWN CENTER DR, STE. 200, ORANGE CITY, FL 32763-8269
(386) 774-6109
(386) 917-0584
Mailing address
1592 S SR 15A, DELAND, FL 32720-7786
(386) 734-2931
(386) 734-2939
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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