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Organization
CHANDA W WALL OD PA
Active
Organization
CHANDA W WALL OD PA
Active
Other names
Specs Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDA WALL OD (PRESIDENT OWNER)
(941) 993-6188
Entity
Organization
Contact information
Practice address
8432 LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2903
(941) 359-1105
Mailing address
8432 LOCKWOOD RIDGE RD, SARASOTA, FL 34243-2903
(941) 359-1105
(941) 359-1229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3435
FL
Other
Enumeration date
05/15/2007
Last updated
01/04/2018
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