Famouspeopleseyewearandkidzbizinc

NPI #1457494486 in Lithia, Florida

Provider Information

NPI Number
1457494486
Entity Type
Organization
Organization Name
Famouspeopleseyewearandkidzbizinc
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Feb 15, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
10423 CR39
City
Lithia
State
Florida
ZIP Code
33547-2864
Phone
(813) 737-1122

Authorized Official

Name
MRS. ANNETTE BARBARA RUSSELL, DO
Title
OWNNER
Phone
(813) 737-1122

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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