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NPI Code Detail

MEDICARE: EYE EXPRESS, INC.

MEDICARE: EYE EXPRESS, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1053305821
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE EXPRESS, INC.
Provider Business Mailing Address
First Line : 215 1ST ST N
Second Line :
City : WINTER HAVEN
State : FL
Zip : 33881-4537
Country : US
Telephone Number : 863-299-8908
Fax Number : 863-299-1061
Provider Business Practice Location Address
First Line : 5528 US 98 NORTH
Second Line :
City : LAKELAND
State : FL
Zip : 33809-3104
Country : US
Telephone Number : 863-853-2020
Fax Number : 863-527-2008
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN F. PHILLIPS
Credential : OD
Telephone Number : 863-299-8908
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/13/2015

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Directions to “EYE EXPRESS, INC. ” Practice Location

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