411 EYES LLC. NPI 1184904260

NPI Information

NPI: 1184904260
Provider Name: 411 EYES, LLC.

Doing Business As: 20/20 EYEGLASS SUPERSTORE, INC.

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1270 SAXON BLVD
SUITE 105
ORANGE CITY, FL
ZIP 32763
Phone: (386) 774-5000
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411 EYES, LLC. is an eyewear supplier in Orange City, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. 411 EYES, LLC. NPI is 1184904260. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 20/20 Eyeglass Superstore, Inc..

The provider's business location address is:

1270 SAXON BLVD
SUITE 105
ORANGE CITY, FL
ZIP 32763-418
Phone: (386) 774-5000
Fax: (386) 774-0444

The provider's authorized official is Edward Ucci .
The authorized official title is General Manager and has the following contact phone number (407) 767-5600.

The enumeration date for this NPI number is 8/22/2011 and was last updated on 11/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	152W00000X	Optometrist	2732	FLORIDA	No
2	332H00000X	Eyewear Supplier	DO 5119	FLORIDA	No
3	332H00000X	Eyewear Supplier	OE 2002	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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