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Individual

ROBERT M EASTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1560 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
(954) 564-2025
(954) 564-3869
Mailing address
1560 E OAKLAND PARK BLVD, OAKLAND PARK, FL 33334-4425
(954) 564-2025
(954) 564-3869

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1736
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC 1736
FL
152WP0200X
Pediatric Optometrist
OPC 1736
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PC 1736
FL BOARD CERTIFICATION #
FL
Enumeration date
06/01/2005
Last updated
07/17/2008
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