# OKALOOSA EYE CARE PA

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

## Provider details

- **NPI number:** 1124160395
- **Authorized official:** DR. CHELSEA RAYNA EVANS O.D. (PRESIDENT)
- **Authorized official phone:** (850) 683-0221

## Contact information

- **Practice address:** 207 N MAIN ST, CRESTVIEW, FL 32536-3543
- **Practice address phone:** (850) 683-0221
- **Practice address fax:** (850) 683-0225
- **Mailing address:** 207 N MAIN ST, CRESTVIEW, FL 32536-3543
- **Mailing address phone:** (850) 683-0221
- **Mailing address fax:** (850) 683-0225

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 08/26/2021