MNG Optical, Inc.
Organization Active NPI Eyewear Supplier · Osprey, FL
NPI 1164053005 · NPPES record last updated Jan 29, 2020
Key facts
- NPI
- 1164053005
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- Legal business name
- MNG OPTICAL, INC.
- Practice address
- 674 Clear Creek Dr
Osprey, FL 34229-6814 - Phone
- (309) 749-8837
- NPI assigned
- Jan 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Vitalii Khodzhaiev
- Title
- Ceo
- Phone
- (309) 749-8837
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Yes |
Addresses
Primary practice location
674 Clear Creek Dr
Osprey, FL 34229-6814
Mailing address
674 Clear Creek Dr
Osprey, FL 34229-6814
Phone (309) 749-8837
Other names
- EYEBOGO
- SUNBOGO
Other providers in Osprey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.