# PAUL SOUTHBY, OD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104207141
- **Authorized official:** DR. PAUL SOUTHBY O.D. (OWNER)
- **Authorized official phone:** (727) 845-0082

## Contact information

- **Practice address:** 9644 SCENIC DR, PORT RICHEY, FL 34668-4653
- **Practice address phone:** (727) 845-0082
- **Practice address fax:** (727) 344-7952
- **Mailing address:** 9644 SCENIC DR, PORT RICHEY, FL 34668-4653
- **Mailing address phone:** (727) 845-0082
- **Mailing address fax:** (727) 344-7952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2015
- **Last updated:** 06/16/2015