# BERNATSKY AND WILSON, O.D., P.A.

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

## Provider details

- **NPI number:** 1114219748
- **Authorized official:** DR. MARK WILSON O.D. (OPTOMETRIST)
- **Authorized official phone:** (813) 977-3862

## Contact information

- **Practice address:** 700 S DALE MABRY HWY, TAMPA, FL 33609-4409
- **Practice address phone:** (813) 877-4935
- **Mailing address:** 700 S DALE MABRY HWY, TAMPA, FL 33609-4409
- **Mailing address phone:** (813) 877-4935

## Taxonomy

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

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 05/16/2011