Organization
EYE DOCTORS OPTICAL OUTLETS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. COPPOLA OD (PRESIDENT)
(954) 917-2337
Entity
Organization
Contact information
Practice address
140 E 13TH ST, SAINT CLOUD, FL 34769-4703
(321) 766-7800
(321) 418-6108
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4499
(813) 885-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
01/23/2025
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