Eyewear Boutique, INC

NPI #1689607467 in New Port Richey, Florida

Provider Information

NPI Number: 1689607467
Entity Type: Organization
Organization Name: Eyewear Boutique, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 8, 2006
Last Updated: Aug 23, 2012

Practice Location

Address: 2020 SEVEN SPRINGS BLVD
City: New Port Richey
State: Florida
ZIP Code: 34655
Phone: (727) 372-1311

Authorized Official

Name: MR. DAVID A. PERICH
Title: ADM
Phone: (727) 372-1311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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