# PRESTON H. STARKS FAMILY EYECARE LLC

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

## Provider details

- **NPI number:** 1598068991
- **Authorized official:** DR. PRESTON HENRY STARKS OD (OPTOMETRIST)
- **Authorized official phone:** (904) 564-4177

## Contact information

- **Practice address:** 12100 LEM TURNER RD, JACKSONVILLE, FL 32218-2304
- **Practice address phone:** (904) 564-4177
- **Practice address fax:** (904) 641-8072
- **Mailing address:** 2641 LANTANA LAKES CT, JACKSONVILLE, FL 32246-4634
- **Mailing address phone:** (904) 564-4177
- **Mailing address fax:** (904) 641-8072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 2779 | FL | Yes |

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 02/04/2011
