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Organization
ASSOCIATED OPTOMETRISTS OF OVERHOLSER & OVERHOLSER OD PA
Active
Organization
ASSOCIATED OPTOMETRISTS OF OVERHOLSER & OVERHOLSER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRIE JO OVERHOLSER O.D. (OWNER/DOCTOR)
(352) 875-1173
Entity
Organization
Contact information
Practice address
17961 S HIGHWAY 441, SUMMERFIELD, FL 34491
(352) 307-4435
(352) 307-4437
Mailing address
21455 NW 39TH CT, MICANOPY, FL 32667
(352) 875-1173
(352) 237-9479
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45326
BCBS OF FL
FL
Enumeration date
12/12/2006
Last updated
09/29/2023
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