NPI 1104371277

Eye Shop

Organisation Eyewear Supplier New Port Richey, FL

Practice location

Address: 5305 Grand Blvd, New Port Richey, FL 34652-4014
Phone: (727) 847-0889
Fax: (727) 846-0889

Authorised official

Name: Carey T Rowan
Title: Owner
Phone: (727) 847-0889

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence ME82259 (FL)

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Registry record

NPI: 1104371277
Entity type: Organization
NPI issued: 18 Aug 2016
Record last updated: 18 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.