Provider Demographics
NPI:1043296072
Name:SOTO OPTICIANS OF SARASOTA INC.
Entity Type:Organization
Organization Name:SOTO OPTICIANS OF SARASOTA INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:LICSENED D,O
Authorized Official - Phone:941-955-0686
Mailing Address - Street 1:1843 HILLVIEW ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3606
Mailing Address - Country:US
Mailing Address - Phone:941-955-0686
Mailing Address - Fax:941-366-1233
Practice Address - Street 1:1843 HILLVIEW ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3606
Practice Address - Country:US
Practice Address - Phone:941-955-0686
Practice Address - Fax:941-366-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1993332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1237740001Medicare ID - Type UnspecifiedOPTICAL GOODS
FLC08447018Medicare ID - Type UnspecifiedSUBMITTER ID