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Organization

EYE DOCTORS OPTICAL OUTLETS PA

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
6802 22ND AVE N, ST PETERSBURG, FL 33710-3918
(727) 343-3006
(727) 369-8827
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4317
(813) 885-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
125422148
FL
05
620937811
FL
Enumeration date
08/06/2007
Last updated
01/21/2026
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