Organization
20/20 OPTICAL DISPENSARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILHERME WILLIAM DWIN LDO (OPTICIAN/ OWNER)
(954) 571-2022
Entity
Organization
Contact information
Practice address
100 S MILITARY TRL STE 6, DEERFIELD BEACH, FL 33442-3031
(954) 571-2022
(954) 571-2922
Mailing address
100 S MILITARY TRL STE 6, DEERFIELD BEACH, FL 33442-3031
(954) 571-2022
(954) 571-2922
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1171
FL
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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