Organization
AMERICAN OPTOMETRIC CENTER CORP
Active
Other names
Brooksville Optical
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TOLEDO (OWNER)
(352) 796-0340
Entity
Organization
Contact information
Practice address
7631 HORSE LAKE RD, BROOKSVILLE, FL 34601-9021
(352) 796-0340
(352) 777-4917
Mailing address
PO BOX 10257, BROOKSVILLE, FL 34603-0257
(352) 796-0340
(352) 777-4917
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023749100
—
FL
05
—
630340400
—
FL
Enumeration date
03/14/2017
Last updated
03/07/2019
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