Organization
COLLINS HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL COLLINS (OPTOMETRIST)
(859) 312-2972
Entity
Organization
Contact information
Practice address
301 COLONY BLVD, THE VILLAGES, FL 32162-6085
(352) 259-1621
Mailing address
6795 SW 131ST PL, OCALA, FL 34473-1914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265545768
PERSONAL NPI
FL
01
—
OPC 4011
FLORIDA LICENSE TO PRACTICE OPTOMETRY
FL
Enumeration date
05/08/2009
Last updated
05/08/2009
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