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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 April, 2025.
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