Organization
APEX VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUC E KANICKY OD (OPTOMETRIST)
(813) 495-5116
Entity
Organization
Contact information
Practice address
15302 N NEBRASKA AVE, TAMPA, FL 33613-1448
(813) 371-9020
Mailing address
3249 STONEGATE FALLS DR, LAND O LAKES, FL 34638-6195
(813) 495-8883
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FL3906
OPTOMETRY
FL
Enumeration date
08/30/2019
Last updated
08/30/2019
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