Organization
CONWAY OPTICAL COMPANY
Active
Parent organization
CONWAY OPTICAL COMPANY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONWAY OPTICAL COMPANY
Authorized official
CARLA STOCKER LDO (MANAGER)
(407) 601-0120
Entity
Organization
Contact information
Practice address
3834 CURRY FORD RD, ORLANDO, FL 32806-2708
(407) 601-0120
(407) 601-0434
Mailing address
PO BOX 592923, ORLANDO, FL 32859-2923
(407) 601-0120
(407) 601-0434
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/20/2020
Last updated
09/20/2020
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