Mastercraft Optical Gallery, Inc.

Eyewear Supplier · Okeechobee, FL

Organization Active NPI

NPI number 1407954399

Practice location

520 S Parrott Ave
Okeechobee, FL 34974-4345
Phone
(863) 763-4334
Fax
(863) 763-3226

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NPI record

NPI
1407954399
Entity type
Organization (Type 2)
Enumeration date
September 21, 2006
Last updated
September 16, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Eyewear Supplier Primary 332H00000X D02342 FL

Authorized official

Name
Gwendolyn J King, LDO
Title
Owner
Phone
(863) 763-4334

About Mastercraft Optical Gallery, Inc.

Mastercraft Optical Gallery, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Eyewear Supplier (code 332H00000X). The practice location is 520 S Parrott Ave, Okeechobee, FL 34974-4345. The NPI number 1407954399 was assigned on September 21, 2006 and the record was last updated on September 16, 2008.

Mastercraft Optical Gallery, Inc. lists a license in the registry: #D02342 (FL) for Eyewear Supplier. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Gwendolyn J King, LDO, Owner.

Frequently asked questions

What is the NPI number of Mastercraft Optical Gallery, Inc.?

The NPI number is 1407954399.

What is the phone number of Mastercraft Optical Gallery, Inc.?

The phone number listed for the practice location is (863) 763-4334.

Where is Mastercraft Optical Gallery, Inc. located?

520 S Parrott Ave, Okeechobee, FL 34974-4345.

What is the taxonomy code for Mastercraft Optical Gallery, Inc.?

The primary taxonomy code is 332H00000X – Eyewear Supplier.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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