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Organization
MARION OAKS EYE LLC
Active
Organization
MARION OAKS EYE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PARKER OD (OPTOMETRIST)
(352) 347-3937
Entity
Organization
Contact information
Practice address
133 MARION OAKS BLVD UNIT 101, OCALA, FL 34473-2219
(352) 347-3937
Mailing address
133 MARION OAKS BLVD UNIT 101, OCALA, FL 34473-2219
(352) 347-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115343500
—
FL
Enumeration date
02/21/2023
Last updated
02/21/2023
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