# LIZ VAWTER OD PA

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

## Provider details

- **NPI number:** 1962019471
- **Authorized official:** ELIZABETH KATHRYN VAWTER OD (PRESIDENT)
- **Authorized official phone:** (941) 224-9382

## Contact information

- **Practice address:** 2020 MANATEE AVE W, BRADENTON, FL 34205-5856
- **Practice address phone:** (941) 747-1831
- **Mailing address:** 3811 2ND DR NE, BRADENTON, FL 34208-5075
- **Mailing address phone:** (941) 224-9382

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2020
- **Last updated:** 09/29/2020