Eye Doctors Optical Outlets

NPI 1063728616 - Optometrist - 152W00000X

NPI Details
NPI 1063728616
Enumeration Date 08/20/2010
Last Updated 08/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROBERT ROBERT
Position OWNER
Phone (813) 885-3937
Fax (239) 244-9342
Practice Location
23101 SOUTH TAMIAMI TRAIL
SUITE 440
ESTERO FL, 33928, US
Phone (813) 885-3937
Fax (239) 244-9342
Business Location
5607 JOHNS RD
CREDENTIALING DEPARTMENT
TAMPA FL, 33634-4499, US
Phone (813) 885-3937
Fax (813) 880-8375
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC 1544
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According to our database, Eye Doctors Optical Outlets NPI is 1063728616, taxonomy code is 152W00000X and license number is OPC 1544, license state is located at Florida. Eye Doctors Optical Outlets physically located at 23101 South Tamiami Trail, Estero FL, 33928. NPI Number 1033115704 has the healthcare provider type.

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1063728616 NPI number is provided on an as is basis without warranty of any kind. 1063728616 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Doctors Optical Outlets are for informational purposes only.