Organization
OPTICAL SHOP OF PALATKA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE ALAN CARROLL OPTICIAN (OWNER)
(386) 328-2020
Entity
Organization
Contact information
Practice address
3710 SAINT JOHNS AVE, PALATKA, FL 32177-4026
(386) 328-2020
(386) 328-6428
Mailing address
3710 SAINT JOHNS AVE, PALATKA, FL 32177-4026
(386) 328-2020
(386) 328-6428
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO889
FL
Other
Enumeration date
02/05/2008
Last updated
02/06/2008
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