# SAMUEL J TESKE OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Eye Doctors of New Tampa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073807962
- **Authorized official:** SAMUEL TESKE O.D. (OWNER)
- **Authorized official phone:** (813) 632-2020

## Contact information

- **Practice address:** 19070 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2477
- **Practice address phone:** (813) 632-2020
- **Practice address fax:** (813) 631-9802
- **Mailing address:** 19070 BRUCE B DOWNS BLVD, TAMPA, FL 33647-2477
- **Mailing address phone:** (813) 632-2020
- **Mailing address fax:** (813) 631-9802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3764 | FL | Yes |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 04/10/2020