NPI 1619078649

Mark Joseph Bridges, LDO

Practitioner Optician Lakeland, FL

Practice location

Address: 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019
Phone: (863) 682-3226
Fax: (863) 682-1742

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 1564 (FL)

Other Technician/Technologist providers in Florida →

Registry record

NPI: 1619078649
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Sep 2006
Record last updated: 16 Nov 2007

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.