Provider Demographics
NPI:1811708977
Name:FRIENDLY EYES OPTOMETRY LLC
Entity type:Organization
Organization Name:FRIENDLY EYES OPTOMETRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:CONCOOL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-222-8136
Mailing Address - Street 1:8990 N DAVIS HWY APT 6
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32514-5304
Mailing Address - Country:US
Mailing Address - Phone:513-222-8136
Mailing Address - Fax:
Practice Address - Street 1:2001 N FEDERAL HWY UNIT 120
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-1018
Practice Address - Country:US
Practice Address - Phone:513-222-8136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center