Organization
COMMUNITY EYE OPTICAL LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY M BURNETTE (PRACTICE ADMINISTRATOR)
(941) 625-1325
Entity
Organization
Contact information
Practice address
1331 S SUMTER BLVD, NORTH PORT, FL 34287-2339
(941) 423-8237
(941) 423-8618
Mailing address
1331 S SUMTER BLVD, NORTH PORT, FL 34287-2339
(941) 423-8237
(941) 423-8618
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
79133
FL
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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