Healthcare Provider Details

I. General information

NPI: 1225157415
Provider Name (Legal Business Name): SUN HILL OPTICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 RICKENBACKER DR STE 8
SUN CITY CENTER FL
33573-5332
US

IV. Provider business mailing address

1601 RICKENBACKER DR STE 8
SUN CITY CENTER FL
33573-5332
US

V. Phone/Fax

Practice location:
  • Phone: 813-634-6344
  • Fax: 813-634-1018
Mailing address:
  • Phone: 813-634-6344
  • Fax: 813-634-1018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC1786
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberDO1861
License Number StateFL

VIII. Authorized Official

Name: MR. FRANK FINNEGAN
Title or Position: OWNER
Credential:
Phone: 813-634-6344