Organization
JAMES K. BERRY OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES KEVIN BERRY O.D. (OPTOMETRIST)
(352) 787-9799
Entity
Organization
Contact information
Practice address
1320 SHELFER ST, LEESBURG, FL 34748-3929
(352) 787-9799
(352) 728-0057
Mailing address
1320 SHELFER ST, LEESBURG, FL 34748-3929
(352) 787-9799
(352) 728-0057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1901
FL
Other
Enumeration date
08/22/2006
Last updated
12/11/2007
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