Organization
BEYOND 2020 VISION SPECIALISTS EAST LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKY THAN OD (AUTHORIZED OFFICIAL/PRESIDENT)
(727) 242-8388
Entity
Organization
Contact information
Practice address
4974 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1744
(727) 242-8388
(813) 909-8388
Mailing address
4974 RIDGEMOOR BLVD, PALM HARBOR, FL 34685-1744
(727) 242-8388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/18/2025
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