# CENTRAL FLORIDA PREMIER EYE ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Eye Accosiates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508501610
- **Authorized official:** SCOT CORBIN HOLMAN (OWNER)
- **Authorized official phone:** (352) 343-4798

## Contact information

- **Practice address:** 104 MARCIA DR, ALTAMONTE SPRINGS, FL 32714-2913
- **Practice address phone:** (407) 862-7234
- **Mailing address:** 1852 MAYO DR, TAVARES, FL 32778-4320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/03/2022
- **Last updated:** 05/03/2022
