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Organization
K&J EYE CARE, PA
Active
Organization
K&J EYE CARE, PA
Active
Other names
Bayshore Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH WAYNE LAWSON O.D. (OWNER/OPTOMETRIST)
(941) 751-4668
Entity
Organization
Contact information
Practice address
5632 26TH ST W, BRADENTON, FL 34207-3515
(941) 751-4668
(941) 751-4809
Mailing address
5632 26TH ST W, BRADENTON, FL 34207-3515
(941) 751-4668
(941) 751-4809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410029746
RAILROAD MEDICARE
FL
05
—
620685900
—
FL
Enumeration date
10/14/2005
Last updated
05/27/2010
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