Organization
3D EYEWEAR
Active
Other names
3D Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMIKO D DAVIS DO (LICENSED OPTICIAN)
(813) 319-3904
Entity
Organization
Contact information
Practice address
4505 E HILLSBOROUGH AVE, SUITE B, TAMPA, FL 33610-5200
(813) 319-3904
(813) 319-3997
Mailing address
4505 E HILLSBOROUGH AVE, SUITE B, TAMPA, FL 33610-5200
(813) 319-3904
(813) 319-3997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OB3204
FL
152W00000X
Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
156FX1101X
Ophthalmic Assistant
DO4826
FL
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
630366800
—
FL
Enumeration date
02/04/2010
Last updated
02/04/2010
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