Organization · Type 2 NPI
Prison Rehabilitative Industries Diversified Enterprises, Inc
Eyewear Supplier · Fort Lauderdale, FL
NPI number
1659531309
Active
Practice location
20421 Sheridan St
Fort Lauderdale, FL 33332-2300
Fax (813) 890-2103
Mailing address
12425 28th St N, Suite 300
St. Petersburg, FL 33716-1844
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | S. 2220 (OH) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1659531309
Prison Rehabilitative Industries Diversified Enterprises, Inc's National Provider Identifier is 1659531309, issued on Jun 16, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jun 16, 2008.