Organization
BLUE SKY EYEWEAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA JEAN VEDRAL OPTICIAN (MANAGER)
(941) 480-0300
Entity
Organization
Contact information
Practice address
811 RIDGEWOOD AVE, VENICE, FL 34285-7009
(941) 480-0300
(941) 485-8090
Mailing address
811 RIDGEWOOD AVE, VENICE, FL 34285-7009
(941) 485-8090
(941) 480-0300
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
DO 4976
FL
Other
Enumeration date
11/08/2006
Last updated
02/02/2012
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