MEDICARE: EYE EXPRESSIONS, 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	156FX1800X	Optician

General Provider Information

NPI Number	:	1932625431
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE EXPRESSIONS, LLC

Provider Business Mailing Address
First Line	:	7100 FAIRWAY DR STE 39
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4203
Country	:	US
Telephone Number	:	561-799-3932
Fax Number	:	561-799-3978

Provider Business Practice Location Address
First Line	:	7100 FAIRWAY DR STE 39
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4203
Country	:	US
Telephone Number	:	561-799-3932
Fax Number	:	561-799-3978

Authorized Official
Title or Position	:	LICENSED DISPENSING OPTICIAN
Name	:	SARAH A BARRY
Credential	:	LDO
Telephone Number	:	561-799-3932

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	07/21/2022

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Directions to “EYE EXPRESSIONS, LLC ” Practice Location

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