Provider Demographics
NPI:1114361466
Name:SEEKLEAR OPTIX LLC
Entity Type:Organization
Organization Name:SEEKLEAR OPTIX LLC
Other - Org Name:SEEKLEAR OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTOSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-600-2990
Mailing Address - Street 1:14243 POWELL RD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8100
Mailing Address - Country:US
Mailing Address - Phone:352-600-2990
Mailing Address - Fax:
Practice Address - Street 1:14243 POWELL RD
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-8100
Practice Address - Country:US
Practice Address - Phone:352-600-2990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty