Eye Doctors Optical Outlets Pa

NPI 1043401938 - Optometrist - 152W00000X

NPI Details
NPI 1043401938
Enumeration Date 08/06/2007
Last Updated 05/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (813) 885-3937
Fax
Practice Location
762 EAGLE RIDGE DR
LAKE WALES FL, 33859-4740, US
Phone (813) 885-3937
Fax
Business Location
5607 JOHNS RD
TAMPA FL, 33634-4317, US
Phone (813) 885-3937
Fax
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1043401938 NPI Number
 

According to our database, Eye Doctors Optical Outlets Pa NPI is 1043401938, taxonomy code is 152W00000X Eye Doctors Optical Outlets Pa physically located at 762 Eagle Ridge Dr, Lake Wales FL, 33859-4740. NPI Number 1033115704 has the healthcare provider type.

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1043401938 NPI number is provided on an as is basis without warranty of any kind. 1043401938 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Doctors Optical Outlets Pa are for informational purposes only.