Organization
CHILDREN'S EYEWEAR CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VINCENT MANDESE (OWNER)
(407) 234-5788
Entity
Organization
Contact information
Practice address
1717 S ORANGE AVE, ORLANDO, FL 32806
(407) 422-6798
(407) 992-7053
Mailing address
540 GOLDENMOSS LOOP, OCOEE, FL 34761-4783
(407) 234-5788
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
DO3019
FL
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100145900
—
FL
Enumeration date
06/08/2018
Last updated
08/10/2018
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