Provider Demographics
NPI:1164061578
Name:SEE AND SUN OPTICAL
Entity Type:Organization
Organization Name:SEE AND SUN OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGMB
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:LOLOS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:772-247-7573
Mailing Address - Street 1:3736 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34996
Mailing Address - Country:US
Mailing Address - Phone:772-247-7573
Mailing Address - Fax:
Practice Address - Street 1:3736 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34996
Practice Address - Country:US
Practice Address - Phone:772-247-7573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty