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NPI Code Detail

MEDICARE: GLASSES RX, LLC

MEDICARE: GLASSES RX, 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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1902515190
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLASSES RX, LLC
Provider Business Mailing Address
First Line : PO BOX 919788
Second Line :
City : ORLANDO
State : FL
Zip : 32891-9788
Country : US
Telephone Number : 888-856-1878
Fax Number :
Provider Business Practice Location Address
First Line : 970 KINGS HWY UNIT 2
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33980-4213
Country : US
Telephone Number : 941-637-0202
Fax Number :
Authorized Official
Title or Position : CFO
Name : MICHAEL AMES
Credential : MD
Telephone Number : 404-964-8532
Provider Enumeration Date : 11/16/2022
Last Update Date : 01/26/2024

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Directions to “GLASSES RX, LLC ” Practice Location

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