# OPTIKK 30A, PA

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

## Provider details

- **NPI number:** 1487031233
- **Authorized official:** DR. KORRIE L LALIM O.D. (CEO)
- **Authorized official phone:** (850) 608-3135

## Contact information

- **Practice address:** 2050 W COUNTY HIGHWAY 30A, M1-119, SANTA ROSA BEACH, FL 32459-0187
- **Practice address phone:** (850) 608-3135
- **Mailing address:** 2050 HWY 30A, M 1-119, SANTA ROSA BEACH, FL 32459

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 3910 | FL | Yes |
| 332H00000X | Eyewear Supplier | OPC3910 | FL | — |

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 03/15/2016