# KATHLEEN D. WOOSTER, O.D., P.A.

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

## Provider details

- **NPI number:** 1174855779
- **Authorized official:** DR. KATHLEEN DIANE WOOSTER O.D. (PRESIDENT)
- **Authorized official phone:** (352) 797-5505

## Contact information

- **Practice address:** 924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
- **Practice address phone:** (352) 797-5505
- **Practice address fax:** (352) 799-0462
- **Mailing address:** 924 CANDLELIGHT BLVD, BROOKSVILLE, FL 34601-3116
- **Mailing address phone:** (352) 797-5505
- **Mailing address fax:** (352) 799-0462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1707 | FL | Yes |

## Other

- **Enumeration date:** 02/05/2010
- **Last updated:** 02/05/2010