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Taylor Creek Optical Inc
Durable Medical Equipment & Medical Supplies in Fort Pierce, Florida
NPI 1417006073

Taylor Creek Optical Inc is a Durable Medical Equipment & Medical Supplies based in Fort Pierce, FL. Taylor Creek Optical Inc practices in Fort Pierce, FL. The NPI Number for Taylor Creek Optical Inc is 1417006073 and holds a License No. DO3798 (Florida).

The current practice location address for Taylor Creek Optical Inc is 104 N 2Nd St, Fort Pierce, FL and can be reached out via phone at 772-468-0008 and via fax at 772-468-6628.

Location: 104 N 2Nd St, Fort Pierce, FL, 34950-4403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417006073
Provider Name
Taylor Creek Optical Inc
Credential
Provider Entity Type
Organization
Address
104 N 2Nd St, Fort Pierce, FL, 34950-4403
Phone Number
772-468-0008
Fax Number
772-468-6628
Provider Enumeration Date
01/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D7706 01 FL BCBS
0855120001 01 DME SUPPLIER
FL3798 01 FL EYE MED
institution
Provider Business Practice Location Address Details
Address
104 N 2Nd St
City
Fort Pierce
State
Florida
Zip
34950
Phone Number
772-468-0008
Fax Number
772-468-6628
person
Provider Business Mailing Address Details
Address
104 N 2Nd St
City
Fort Pierce
State
Florida
Zip
34950
Phone Number
772-468-0008
Fax Number
772-468-6628
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OE480 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
DO3798 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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