# JOSEPH R DEVINE OD PA

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

## Provider details

- **NPI number:** 1710969308
- **Authorized official:** DR. JOSEPH ROCHE DEVINE OD (OPTOMETRIST OWNER)
- **Authorized official phone:** (407) 295-1234

## Contact information

- **Practice address:** 948 N PINE HILLS RD, ORLANDO, FL 32808-7212
- **Practice address phone:** (407) 295-1234
- **Practice address fax:** (407) 293-2867
- **Mailing address:** 948 N PINE HILLS RD, ORLANDO, FL 32808-7212
- **Mailing address phone:** (407) 295-1234
- **Mailing address fax:** (407) 293-2867

## Taxonomy

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

## Other

- **Enumeration date:** 11/18/2005
- **Last updated:** 08/22/2020