Organization
EYE EXPRESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN F PHILLIPS OD (DIRECTOR)
(863) 299-8908
Entity
Organization
Contact information
Practice address
500 E CENTRAL AVE, OPTICAL SUITE, WINTER HAVEN, FL 33880-3053
(863) 299-8908
(863) 595-2838
Mailing address
215 1ST ST N, SUITE 100, WINTER HAVEN, FL 33881-4537
(863) 299-8908
(863) 595-2838
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OPC931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE DME
FL
05
—
PENDING
—
FL
Enumeration date
12/27/2010
Last updated
12/27/2010
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