MEDICARE: EYESAVERS OPTICAL 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
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003837212
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYESAVERS OPTICAL INC

Provider Business Mailing Address
First Line	:	4126 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5947
Country	:	US
Telephone Number	:	727-846-0823
Fax Number	:	727-846-0823

Provider Business Practice Location Address
First Line	:	4126 US HIGHWAY 19
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-5947
Country	:	US
Telephone Number	:	727-846-0823
Fax Number	:	727-846-0823

Authorized Official
Title or Position	:	PRES CEO
Name	:	MR. ARON M ARKON
Credential	:	LIC OPTICIAN
Telephone Number	:	727-846-0823

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	04/27/2017

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Directions to “EYESAVERS OPTICAL INC ” Practice Location

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