Individual
CHARLES D REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
103 FAULKNER ST, NEW SMYRNA BEACH, FL 32168-7017
(386) 423-7788
(386) 423-0035
Mailing address
103 FAULKNER ST, NEW SMYRNA BEACH, FL 32168-7017
(386) 423-7788
(386) 423-0035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1689
FL
Other
Enumeration date
10/19/2006
Last updated
05/24/2016
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