Organization
BAY STREET OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE BRADY (OWNER)
(772) 589-6222
Entity
Organization
Contact information
Practice address
13830 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 589-6222
Mailing address
13830 US HIGHWAY 1, SEBASTIAN, FL 32958-3296
(772) 589-6222
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1848
FL
Other
Enumeration date
02/26/2013
Last updated
02/26/2013
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