Prison Rehabilitative Industries Diversified Enterprises, Inc is a Eyewear Supplier (equipment, Not The Service) Store in Ft Lauderdale, Florida. It is situated at 20421 Sheridan St, Ft Lauderdale and its contact number is 800-523-1766. The authorized person of Prison Rehabilitative Industries Diversified Enterprises, Inc is Mr. Peter Radanovich
who is Chief Financial Officer of the store and their contact number is 727-556-3370. Primary license number for Prison Rehabilitative Industries Diversified Enterprises, Inc is S. 2220 in Ohio.
Prison Rehabilitative Industries Diversified Enterprises, Inc is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Complete Center Profile:
Prison Rehabilitative Industries Diversified Enterprises, Inc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the eye care center or can call on the below given phone number for appointment.
| Specialization: | Eyewear Supplier (equipment, Not The Service) |
| Address: | 20421 Sheridan St, Ft Lauderdale,
Florida, 33332-2300 |
| Phone: | 800-523-1766 |
| Fax: | 813-890-2103 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Peter Radanovich |
| Position: | Chief Financial Officer |
| Contact Number: | 727-556-3370 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Prison Rehabilitative Industries Diversified Enterprises, Inc center are as mentioned below.
| NPI Number: | 1659531309 |
| NPI Enumeration Date: | 16 Jun, 2008 |
| NPI Last Update On: | 16 Jun, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prison Rehabilitative Industries Diversified Enterprises, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Eyewear Supplier (equipment, Not The Service) | S. 2220 | Ohio | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 086571100 | Medicaid | Florida | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Prison Rehabilitative Industries Diversified Enterprises, Inc
12425 28th St N, Suite 300
St Petersburg, Florida |
| Zip: | 33716-1844 |
| Phone Number: | 727-572-1987 |
| Fax Number: | 727-570-3378 |
Patients can reach Prison Rehabilitative Industries Diversified Enterprises, Inc at
20421 Sheridan St, Ft Lauderdale, Florida or can
call to book an appointment on 800-523-1766.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.