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Organization

CONTACTS AND GLASSES

Active
Other names
Contacts and Glasses
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FRANK MORREALE O.D. (OWNER)
(321) 752-5454
Entity
Organization

Contact information

Practice address
1124 S WICKHAM RD, WEST MELBOURNE, FL 32904-2442
(321) 752-5454
(321) 752-5405
Mailing address
PO BOX 121066, WEST MELBOURNE, FL 32912-1066
(321) 759-3510
(321) 752-5405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP-3146
FL
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
620350300
FL
05
620353100
FL
Enumeration date
04/26/2010
Last updated
05/11/2023
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