Organization
OPTICAL FACTORY AND SHOWROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARA S COLECCHIA LDO (OPTICIAN, OWNER)
(727) 585-8521
Entity
Organization
Contact information
Practice address
800 E BAY DR, SUITE G, LARGO, FL 33770-2532
(727) 585-8521
(727) 584-1973
Mailing address
800 E BAY DR, SUITE G, LARGO, FL 33770-2532
(727) 585-8521
(727) 584-1973
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3570
FL
Other
Enumeration date
09/25/2006
Last updated
08/22/2020
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