Organization
OPTIMART, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY LOUIS MATHIS (ADMINISTRATOR)
(727) 914-8615
Entity
Organization
Contact information
Practice address
4359 35TH ST N, ST PETERSBURG, FL 33714-3717
(727) 525-3959
(727) 914-8610
Mailing address
4359 35TH ST N, ST PETERSBURG, FL 33714-3717
(727) 914-8615
(727) 914-8610
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
09/23/2020
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