# ROBERT I GUDA OPT PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Optical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689894008
- **Authorized official:** DR. ROBERT I GUDA OD (PRESIDENT)
- **Authorized official phone:** (786) 325-1027

## Contact information

- **Practice address:** 6101 PINE RIDGE RD, PREMIER OPTICAL GROUP, NAPLES, FL 34119
- **Practice address phone:** (239) 348-4370
- **Practice address fax:** (239) 348-4058
- **Mailing address:** 6101 PINE RIDGE RD, PREMIER OPTICAL GROUP, NAPLES, FL 34119
- **Mailing address phone:** (239) 348-4370
- **Mailing address fax:** (239) 348-4058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2805 | FL | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 02/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621208500 | — | FL |