OPTICAL OUTFITTERS, LLC
Optometry at Harbor Village Ln, Ruskin, FL

License number
Florida OPC4515
Category
Optometry
Type
Optometrist
Owner
Name: CATHERINE YAECKEL O.D
Title: OPTOMETRIST
Phone: (813) 645-2022
Address
Address
242 Harbor Village Ln, Ruskin, FL 33572
National Provider ID: 1922497916
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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OPTICAL OUTFITTERS, LLC

Ruskin, FL

Registration:
Mar 24, 2014
Addresses:
242 Hbr Vlg Ln, Apollo Beach, FL 33572 (Physical)
906 8 Ave SW, Ruskin, FL 33570 (Mailing)
State ID:
L14000048891
Business type:
Florida Limited Liability Company
Manager:
Catherine D Yaeckel (Manager), 906 8 Ave SW, Ruskin, FL 33570 (Physical)
Agent:
Darryl Richards,403 E Madison St SUITE 400, Tampa, FL 33602 (Physical)
EIN:
46-5210239

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