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Organization
ROBERT M EASTON JR OD PA
Active
Organization
ROBERT M EASTON JR OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MORRELL EASTON JR. O.D., F.A.A.O. (OPTOMETRIC PHYSICIAN)
(954) 564-2025
Entity
Organization
Contact information
Practice address
1560 EAST OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
(954) 564-2025
(954) 564-3869
Mailing address
1560 EAST OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
(954) 564-2025
(954) 564-3869
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001736
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC001736
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
289
AMERICAN BOARD OF OPTOMETRY
FL
01
—
OPC001736
FLORIDA BOARD CERTIFIED OPTOMETRIST
FL
Enumeration date
09/12/2012
Last updated
09/18/2012
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