Organization
HANLEY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BRADLEY OD (OWNER)
(904) 619-9078
Entity
Organization
Contact information
Practice address
751 OAK ST STE 200, JACKSONVILLE, FL 32204-3361
(904) 619-9078
(904) 619-9079
Mailing address
3120 E BANISTER RD, ST AUGUSTINE, FL 32092-3028
(904) 619-9078
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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