Organization
FANETTE P. KIM O.D. PLLC
Active
Other names
Legacy Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FANETTE KIM O.D (OWNER)
(850) 445-8171
Entity
Organization
Contact information
Practice address
3604 MADACA LN, TAMPA, FL 33618-2057
(850) 445-8171
Mailing address
705 S LOIS AVE, TAMPA, FL 33609-4320
(850) 445-8171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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