Nationwide Vision Center, LLC

NPI #1609390152 in Lutz, Florida

Provider Information

NPI Number: 1609390152
Entity Type: Organization
Organization Name: Nationwide Vision Center, LLC
Primary Specialty: Technician/Technologist - Optician
Enumeration Date: Jul 26, 2017
Last Updated: Dec 21, 2022

Practice Location

Address: 18915 STATE ROAD 54 STE A
City: Lutz
State: Florida
ZIP Code: 33558-5268
Phone: (813) 909-0554

Authorized Official

Name: JOSEPH PRAVOOT GIRA, MD
Title: CHIEF MEDICAL OFFICER
Phone: (314) 909-0633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician/Technologist - Optician — Optician	156FX1800X	Primary

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