Organization
COASTAL EYE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S SULLENBERGER O.D. (VICE PRES)
(386) 734-2240
Entity
Organization
Contact information
Practice address
1699 N WOODLAND BLVD, DELAND, FL 32720-1803
(386) 734-2240
(386) 734-8859
Mailing address
1699 N WOODLAND BLVD, DELAND, FL 32720-1803
(386) 734-2240
(386) 734-8859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/06/2008
Last updated
12/21/2010
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