Freedom Optical Incorporated

NPI #1265184865 in Cocoa, Florida

Provider Information

NPI Number
1265184865
Entity Type
Organization
Organization Name
Freedom Optical Incorporated
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 25, 2022
Last Updated
Jan 25, 2022

Practice Location

Address
4725 FAY BLVD
City
Cocoa
State
Florida
ZIP Code
32927-8284
Phone
(321) 305-6647

Authorized Official

Name
MRS. STACIE LYNNETTE HART SIDWELL, LDO
Title
PRESIDENT
Phone
(321) 305-6647

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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