Charles D Register OD

NPI 1053493361 - Optometrist - 152W00000X

NPI Details
NPI 1053493361
Gender Male
Enumeration Date 10/19/2006
Last Updated 05/24/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
103 FAULKNER ST
NEW SMYRNA BEACH FL, 32168-7017, US
Phone (386) 423-7788
Fax (386) 423-0035
Business Location
103 FAULKNER ST
NEW SMYRNA BEACH FL, 32168-7017, US
Phone (386) 423-7788
Fax (386) 423-0035
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC1689
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According to our database, Charles D Register OD NPI is 1053493361, taxonomy code is 152W00000X and license number is OPC1689, license state is located at Florida. Charles D Register OD physically located at 103 Faulkner St, New Smyrna Beach FL, 32168-7017. NPI Number Charles D Register OD has the Individual type.

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1053493361 NPI number is provided on an as is basis without warranty of any kind. 1053493361 is maintained by the National Plan & Provider Enumeration System. The contents of Charles D Register OD are for informational purposes only.