Organization
EXPRESS EYEGLASS VENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA NEVEUX (OD)
(321) 953-2020
Entity
Organization
Contact information
Practice address
145 PALM BAY RD NE, SUITE 101, W MELBOURNE, FL 32904-8601
(321) 953-2020
Mailing address
145 PALM BAY RD NE, SUITE 101, W MELBOURNE, FL 32904-8601
(321) 953-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3930
FL
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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