Organization
CHANNELSIDE OPTICAL LLC
Active
Other names
OPES OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARA ROSEN DO (DISPENSING OPTICIAN)
(813) 906-6737
Entity
Organization
Contact information
Practice address
912 CHANNELSIDE DR, SUITE 2102, TAMPA, FL 33602-4229
(813) 906-6737
(855) 916-6737
Mailing address
912 CHANNELSIDE DR, SUITE 2102, TAMPA, FL 33602-4229
(813) 906-6737
(855) 916-6737
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
OE2231
FL
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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