# MYEYEDR OPTOMETRY OF FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MyEyeDr.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417597816
- **Authorized official:** SUE DOWNES (SECRETARY)
- **Authorized official phone:** (703) 847-8899

## Contact information

- **Practice address:** 1128 BICHARA BLVD, LADY LAKE, FL 32159-7716
- **Practice address phone:** (352) 750-2414
- **Practice address fax:** (352) 259-4286
- **Mailing address:** 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
- **Mailing address phone:** (703) 847-8899
- **Mailing address fax:** (571) 223-6780

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2020
- **Last updated:** 05/25/2022