Organization
COMMUNITY EYE OPTICAL LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R SCHAIBLE M.D. (AUTHORIZED OFFICIAL)
(941) 625-1325
Entity
Organization
Contact information
Practice address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 625-1960
(941) 625-5780
Mailing address
21275 OLEAN BLVD, PORT CHARLOTTE, FL 33952-6704
(941) 625-1960
(941) 625-5780
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
79133
FL
Other
Enumeration date
07/20/2005
Last updated
05/02/2016
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