# BAYSIDE FAMILY EYECARE

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

## Provider details

- **NPI number:** 1942432935
- **Authorized official:** DAVID MICHAEL ARCHIBALD O.D. (OWNER)
- **Authorized official phone:** (813) 925-3393

## Contact information

- **Practice address:** 6911 PISTOL RANGE RD STE 103B, TAMPA, FL 33635-6335
- **Practice address phone:** (813) 925-3393
- **Practice address fax:** (813) 925-3394
- **Mailing address:** 6911 PISTOL RANGE RD STE 103B, TAMPA, FL 33635-6335
- **Mailing address phone:** (813) 925-3393
- **Mailing address fax:** (813) 925-3394

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4418 | FL | Yes |

## Other

- **Enumeration date:** 08/10/2009
- **Last updated:** 08/10/2009