Provider Demographics
NPI:1003031592
Name:DUNDEE OPTICALS INC
Entity Type:Organization
Organization Name:DUNDEE OPTICALS INC
Other - Org Name:BELLEAIR OPTICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:DUNDEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-584-0730
Mailing Address - Street 1:100 INDIAN ROCKS RD N
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1778
Mailing Address - Country:US
Mailing Address - Phone:727-584-0730
Mailing Address - Fax:727-582-9267
Practice Address - Street 1:100 INDIAN ROCKS RD N
Practice Address - Street 2:
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-1778
Practice Address - Country:US
Practice Address - Phone:727-584-0730
Practice Address - Fax:727-582-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOE507332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0954370001Medicare ID - Type UnspecifiedOPTICAL STORE