MR. Edward Mitchell JR., LDO

NPI #1811139462 in Crestview, Florida

Provider Information

NPI Number
1811139462
Entity Type
Individual
Name
MR. Edward Mitchell JR., LDO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Eyewear Supplier
Credential
LDO
Enumeration Date
Mar 28, 2009
Last Updated
Oct 15, 2019

Practice Location

Address
4100 S FERDON BLVD STE B5
State
Florida
ZIP Code
32536-5287
Phone
(850) 758-0474

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - Contact Lens FitterContact Lens Fitter
Technician/Technologist - OpticianOptician
Eyewear Supplier

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