P D LAB INC NPI 1720100399

NPI Information

  • NPI: 1720100399
  • Provider Name: P D LAB INC
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Organization
  • Doing Business As: EYE WONDERS
  • Address: 6169 JOG RD
    STE A3
    LAKE WORTH, FL
    ZIP 33467
  • Phone: (561) 304-1234

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NPI Details

P D LAB INC is an optician technician technologist in Lake Worth, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. P D LAB INC NPI is 1720100399. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Wonders.

The provider's business location address is:

6169 JOG RD
STE A3
LAKE WORTH, FL
ZIP 33467-579
Phone: (561) 304-1234
Fax: (561) 304-1254

The provider's authorized official is Peter Fox .
The authorized official title is President Optician and has the following contact phone number (561) 304-1234.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/2/2010.

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
1156FX1800XTechnician/TechnologistOpticianDO1062FLORIDAYes

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
1001904700MEDICAIDFLORIDA
20829630001MEDICARE 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: 11/21/2025

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