Organization
OPTICAL OUTFITTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE YAECKEL O.D (OPTOMETRIST)
(813) 645-2022
Entity
Organization
Contact information
Practice address
242 HARBOR VILLAGE LN, APOLLO BEACH, FL 33572-3424
(813) 645-2022
Mailing address
242 HARBOR VILLAGE LN, APOLLO BEACH, FL 33572-3424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002695100
—
FL
01
—
DP715Z
MEDICARE PROVIDER NUMBER
FL
Enumeration date
01/14/2015
Last updated
07/15/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us