# GEORGE L. VAZOULAS, O.D.,P.A.

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

## Provider details

- **NPI number:** 1588801880
- **Authorized official:** GEORGE VAZOULAS (OWNER)
- **Authorized official phone:** (352) 817-2625

## Contact information

- **Practice address:** 3100 SW COLLEGE RD, OCALA, FL 34474-4419
- **Practice address phone:** (352) 237-7001
- **Mailing address:** 3100 SW COLLEGE RD, OCALA, FL 34474-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2634 | FL | Yes |

## Other

- **Enumeration date:** 01/08/2009
- **Last updated:** 07/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 07984400 | — | FL |
| 01 | — | BD727 | PTAN | — |