TITUSVILLE OPTICAL INC. NPI 1952494700

NPI Information

NPI: 1952494700
Provider Name: TITUSVILLE OPTICAL INC.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1917 KNOX MCRAE DR
TITUSVILLE, FL
ZIP 32780
Phone: (321) 383-1267
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TITUSVILLE OPTICAL INC. is an eyewear supplier in Titusville, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TITUSVILLE OPTICAL INC. NPI is 1952494700. The provider is registered as an organization entity type.

The provider's business location address is:

1917 KNOX MCRAE DR
TITUSVILLE, FL
ZIP 32780
Phone: (321) 383-1267
Fax: (321) 567-0999

The provider's authorized official is David Allen Bressette .
The authorized official title is President Optician and has the following contact phone number (321) 383-1267.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier		DO3755	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D7802	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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