# ROXANNE ACHONG OD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COAN EYE CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386665230
- **Authorized official:** DR. ROXANNE ACHONG OD (PRESIDENT)
- **Authorized official phone:** (407) 445-5170

## Contact information

- **Practice address:** 10101 W COLONIAL DR, SUITE 100, OCOEE, FL 34761-4213
- **Practice address phone:** (407) 445-5170
- **Practice address fax:** (407) 299-5036
- **Mailing address:** 10101 W COLONIAL DR, SUITE 100, OCOEE, FL 34761-4213
- **Mailing address phone:** (407) 445-5170
- **Mailing address fax:** (407) 299-5036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3204 | FL | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 03/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6210674300 | — | FL |
