Organization
DRS JOLLY & CHLEBINA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DICK A. CHLEBINA O.D. (OPTOMETRIST)
(941) 747-1831
Entity
Organization
Contact information
Practice address
2020 MANATEE AVE W, BRADENTON, FL 34205-5856
(941) 747-1831
(941) 748-3791
Mailing address
2020 MANATEE AVE W, BRADENTON, FL 34205-5856
(941) 747-1831
(941) 748-3791
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP1820
FL
152W00000X
Optometrist
OP952
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45190
BCBS
FL
Enumeration date
01/08/2007
Last updated
06/01/2012
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