Individual
DR. MALLORY ELORA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
21275 OLEAN BLVD UNIT 1, PORT CHARLOTTE, FL 33952-6704
(239) 466-2020
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5853
FL
Other
Enumeration date
09/09/2020
Last updated
04/30/2026
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