# OPTOMETRIC PHYSICIAN SERVICES, LLC

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

## Provider details

- **NPI number:** 1366069692
- **Authorized official:** DR. DAVID L EAST OD (OWNER)
- **Authorized official phone:** (850) 291-7184

## Contact information

- **Practice address:** 6495 N DAVIS HWY, PENSACOLA, FL 32504-6954
- **Practice address phone:** (850) 475-1434
- **Mailing address:** 6495 N DAVIS HWY, PENSACOLA, FL 32504-6954
- **Mailing address phone:** (850) 475-1434

## Taxonomy

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

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 07/02/2020