Organization
EYE DOCTORS OPTICAL OUTLETS, PA
Active
Other names
Eye Doctors Optical Outlets
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. COPPOLA OD (PRESIDENT)
(954) 917-2337
Entity
Organization
Contact information
Practice address
1150 MALABAR RD SE STE 110, PALM BAY, FL 32907-3239
(321) 977-5158
(321) 766-6731
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4499
(813) 885-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
01/23/2025
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