# ROBERT M EASTON JR OD PA

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

## Provider details

- **NPI number:** 1932459419
- **Authorized official:** DR. ROBERT MORRELL EASTON JR. O.D., F.A.A.O. (OPTOMETRIC PHYSICIAN)
- **Authorized official phone:** (954) 564-2025

## Contact information

- **Practice address:** 1560 EAST OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
- **Practice address phone:** (954) 564-2025
- **Practice address fax:** (954) 564-3869
- **Mailing address:** 1560 EAST OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
- **Mailing address phone:** (954) 564-2025
- **Mailing address fax:** (954) 564-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC001736 | FL | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | OPC001736 | FL | — |

## Other

- **Enumeration date:** 09/12/2012
- **Last updated:** 09/18/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 289 | AMERICAN BOARD OF OPTOMETRY | FL |
| 01 | — | OPC001736 | FLORIDA BOARD CERTIFIED OPTOMETRIST | FL |