# JAMES K. BERRY OD, PA

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

## Provider details

- **NPI number:** 1235245259
- **Authorized official:** DR. JAMES KEVIN BERRY O.D. (OPTOMETRIST)
- **Authorized official phone:** (352) 787-9799

## Contact information

- **Practice address:** 1320 SHELFER ST, LEESBURG, FL 34748-3929
- **Practice address phone:** (352) 787-9799
- **Practice address fax:** (352) 728-0057
- **Mailing address:** 1320 SHELFER ST, LEESBURG, FL 34748-3929
- **Mailing address phone:** (352) 787-9799
- **Mailing address fax:** (352) 728-0057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1901 | FL | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 12/11/2007
