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Lakeside Optical Inc
Optician in Seminole, Florida
NPI 1699712067

Lakeside Optical Inc is a Optician based in Seminole, FL and is specialized in Optician. Lakeside Optical Inc practices in Seminole, FL. The NPI Number for Lakeside Optical Inc is 1699712067 and holds a License No. OE 0000300 (Florida).

The current practice location address for Lakeside Optical Inc is 6595 Seminole Blvd, Seminole, FL and can be reached out via phone at 727-398-7500 and via fax at 727-398-4851.

Location: 6595 Seminole Blvd, Seminole, FL, 33772-6314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699712067
Provider Name
Lakeside Optical Inc
Credential
Provider Entity Type
Organization
Address
6595 Seminole Blvd, Seminole, FL, 33772-6314
Phone Number
727-398-7500
Fax Number
727-398-4851
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D7661 01 FL BC/BS FL SUPPLIER NUMBER
C08421572 01 PALMETTO EDI SUBMITTER #
institution
Provider Business Practice Location Address Details
Address
6595 Seminole Blvd
City
Seminole
State
Florida
Zip
33772-6314
Phone Number
727-398-7500
Fax Number
727-398-4851
person
Provider Business Mailing Address Details
Address
6595 Seminole Blvd
City
Seminole
State
Florida
Zip
33772-6314
Phone Number
727-398-7500
Fax Number
727-398-4851
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
OE 0000300 (Florida)
Definition
Definition to come...
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