Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prison Rehabilitative Industries Diversified Enterprises, Inc

Organization Eyewear Supplier · NPI 1659531309

Prison Rehabilitative Industries Diversified Enterprises, Inc is an Eyewear Supplier in Ft Lauderdale, Florida. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20421 Sheridan St
Ft Lauderdale, FL 33332-2300
Phone: (800) 523-1766
Fax: (813) 890-2103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence S. 2220 (OH)

Record details

NPI number1659531309
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Radanovich — Chief Financial Officer · (727) 556-3370
Other names P.R.I.D.E Broward Optical
NPI enumeratedJune 16, 2008
Last updated in NPPESJune 16, 2008
Mailing address12425 28th St N, Suite 300, St Petersburg, FL 33716-1844

Other providers in Ft Lauderdale