Optimart, Inc.
NPI #1811104672 in Crystal River, Florida
Provider Information
- NPI Number
- 1811104672
- Entity Type
- Organization
- Organization Name
- Optimart, Inc.
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- May 17, 2007
- Last Updated
- Jun 26, 2020
Practice Location
- Address
- 1661 SE US HIGHWAY 19
- City
- Crystal River
- State
- Florida
- ZIP Code
- 34429-4830
- Phone
- (352) 563-1666
Authorized Official
- Name
- GREGORY LOUIS MATHIS
- Title
- ADMINISTRATOR
- Phone
- (727) 914-8615
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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