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Organization
BEYOND 2020 VISION SPECIALISTS EAST LAKE
Active
Organization
BEYOND 2020 VISION SPECIALISTS EAST LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKY THAN OD (AUTHORIZED OFFICIAL/PRESIDENT)
(727) 242-8388
Entity
Organization
Contact information
Practice address
4974 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1744
(727) 242-8388
(813) 909-8388
Mailing address
4974 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1744
(727) 242-8388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/18/2025
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