NPI 1154867554

Cabana Eyes Optical

Organisation Eyewear Supplier Crestview, FL

Practice location

Address: 4100 S Ferdon Blvd Suite B5, Crestview, FL 32536-5252
Phone: (850) 758-0474
Fax: (850) 826-0057

Authorised official

Name: Edward Mitchell
Title: Owner/ Visual Resource Director
Phone: (850) 758-0474

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X

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Medical Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM2500X

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Registry record

NPI: 1154867554
Entity type: Organization
NPI issued: 10 Jan 2017
Record last updated: 23 Oct 2019

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.