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THIRTEENTH STREET OPTICAL CO. INC. NPI 1235385261


NPI Information

NPI: 1235385261
Provider Name: THIRTEENTH STREET OPTICAL CO., INC.

Doing Business As: EYECARE EXPRESS

Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
3720 NW 13TH ST. #12
GAINESVILLE, FL
ZIP 32609
Phone: (352) 375-6133
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THIRTEENTH STREET OPTICAL CO., INC. is an optician technician technologist in Gainesville, FL. THIRTEENTH STREET OPTICAL CO., INC. NPI is 1235385261. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eyecare Express.

The provider's business location address is:

3720 NW 13TH ST. #12
GAINESVILLE, FL
ZIP 32609-911
Phone: (352) 375-6133
Fax: (352) 375-5380

The provider's authorized official is Michael Wright Barnard .
The authorized official title is Sr. Vice President and has the following contact phone number (352) 375-6133.

The enumeration date for this NPI number is 8/11/2008 and was last updated on 3/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianDO3830FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11081800001MEDICARE NSCFLORIDA

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: 11/14/2023

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