Organization
OPTICAL BY THE SEA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN EDONAIS JORDAN OPTICIAN (OWNER / OPTICIAN)
(954) 491-5818
Entity
Organization
Contact information
Practice address
235 EAST COMMERCIAL BLVD. SUITE # 103, LAUDERDALE BY THE SEA, FL 33308-4430
(954) 491-5818
(954) 491-5819
Mailing address
235 EAST COMMERCIAL BLVD. SUITE # 103, LAUDERDALE BY THE SEA, FL 33308-4430
(954) 491-5818
(954) 491-5819
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO-3073
FL
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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