Organization
EYE DOCTORS OPTICAL OUTLETS
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
23101 SOUTH TAMIAMI TRAIL, SUITE 440, ESTERO, FL 33928
(813) 885-3937
(239) 244-9342
Mailing address
5607 JOHNS RD, CREDENTIALING DEPARTMENT, TAMPA, FL 33634-4499
(813) 885-3937
(813) 880-8375
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
01/23/2025
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