Tjsupper Enterprises, Inc. DBA the Optical Shoppe
NPI #1154776672 in Oldsmar, Florida
Provider Information
- NPI Number
- 1154776672
- Entity Type
- Organization
- Organization Name
- Tjsupper Enterprises, Inc. DBA the Optical Shoppe
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- May 3, 2016
- Last Updated
- May 3, 2016
Practice Location
Authorized Official
- Name
- TIM J. SUPPER, DO
- Title
- OWNER/ OPTICIAN
- Phone
- (727) 804-3412
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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