MEDICARE: INOPTIX EYECARE ASSOCIATES LLC

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
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1750036638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INOPTIX EYECARE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	7840 GATE PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7277
Country	:	US
Telephone Number	:	904-503-4800
Fax Number	:

Provider Business Practice Location Address
First Line	:	7840 GATE PKWY
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32256-7277
Country	:	US
Telephone Number	:	904-503-4800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ARMAN HARTENYAN
Credential	:
Telephone Number	:	904-503-4800

Provider Enumeration Date	:	02/18/2022
Last Update Date	:	02/18/2022

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