# TOMOKA EYE ASSOCIATES

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

## Provider details

- **NPI number:** 1124078787
- **Authorized official:** ALLISON KERN (OFFICE/BILLING MANAGER)
- **Authorized official phone:** (386) 506-8403

## Contact information

- **Practice address:** 345 CLYDE MORRIS BLVD, SUITE 330, ORMOND BEACH, FL 32174-3111
- **Practice address phone:** (376) 672-4244
- **Practice address fax:** (386) 672-0603
- **Mailing address:** 790 DUNLAWTON AVE, SUITE A, PORT ORANGE, FL 32127-9279
- **Mailing address phone:** (376) 767-0053
- **Mailing address fax:** (386) 767-3490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 03/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 256352503 | — | FL |