Jan's Optical Shop of Crystal River
NPI #1235272337 in Crystal River, Florida
Provider Information
- NPI Number
- 1235272337
- Entity Type
- Organization
- Organization Name
- Jan's Optical Shop of Crystal River
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 597 SE US HIGHWAY 19
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4807
- Phone
- (352) 795-7228
Authorized Official
- Name
- STACY A CHRISTOPHER
- Title
- MANAGERING MEMBER
- Phone
- (352) 795-7228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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