EAGLE OPTICAL CO. NPI 1578747309

NPI Information

NPI: 1578747309
Provider Name: EAGLE OPTICAL CO.
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1410 E FLETCHER AVE
TAMPA, FL
ZIP 33612
Phone: (813) 977-4801
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EAGLE OPTICAL CO. is an eyewear supplier in Tampa, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EAGLE OPTICAL CO. NPI is 1578747309. The provider is registered as an organization entity type.

The provider's business location address is:

1410 E FLETCHER AVE
TAMPA, FL
ZIP 33612-668
Phone: (813) 977-4801

The provider's authorized official is Roger Wayne Frey .
The authorized official title is President and has the following contact phone number (813) 977-4801.

The enumeration date for this NPI number is 12/28/2007 and was last updated on 2/1/2008.

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		DO 2954	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	1314040001	MEDICARE NSC	FLORIDA

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

NPI Synchronization or Removal

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