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Organization
ULTIMATE EYE CARE PA
Active
Organization
ULTIMATE EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH M THOMPSON (OD)
(941) 625-5359
Entity
Organization
Contact information
Practice address
1700 TAMIAMI TRL UNIT G7, PORT CHARLOTTE, FL 33948-1048
(941) 625-5359
(941) 625-5420
Mailing address
1700 TAMIAMI TRL UNIT G7, PORT CHARLOTTE, FL 33948-1048
(941) 625-5359
(941) 625-5420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2418
FL
Other
Enumeration date
01/03/2014
Last updated
12/07/2021
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