Individual
DR. GEORGE L. VAZOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3921 SW COLLEGE RD, OCALA, FL 34474-5713
(352) 873-1000
Mailing address
3921 SW COLLEGE RD, OCALA, FL 34474-5713
(352) 873-1000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07984400
—
FL
01
—
BJ442Z
PTAN
—
Enumeration date
11/20/2006
Last updated
01/26/2019
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