# LISA A AMATO OD PA

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

## Provider details

- **NPI number:** 1407509334
- **Authorized official:** DR. LISA A AMATO OD (OWNER)
- **Authorized official phone:** (813) 620-4721

## Contact information

- **Practice address:** 10150 BLOOMINGDALE AVE, RIVERVIEW, FL 33578-3612
- **Practice address phone:** (813) 620-4721
- **Mailing address:** 1615 CANOPY OAKS BLVD, PALM HARBOR, FL 34683-6163

## Taxonomy

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

## Other

- **Enumeration date:** 01/31/2022
- **Last updated:** 01/31/2022