Organization
EYECARE ASSOCIATES OF VIERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHAN MANGUIKIAN O.D (OWNER)
(321) 751-6609
Entity
Organization
Contact information
Practice address
8061 SPYGLASS HILL RD, SUITE 104A, VIERA, FL 32940-8297
(321) 751-6609
(321) 751-6033
Mailing address
8061 SPYGLASS HILL RD, SUITE 104A, VIERA, FL 32940-8297
(321) 751-6609
(321) 751-6033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP 2715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620058300
—
FL
Enumeration date
11/21/2016
Last updated
11/21/2016
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