Organization
OPTIKK 30A, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORRIE L LALIM O.D. (CEO)
(850) 608-3135
Entity
Organization
Contact information
Practice address
2050 W COUNTY HIGHWAY 30A, M1-119, SANTA ROSA BEACH, FL 32459-0187
(850) 608-3135
Mailing address
2050 HWY 30A, M 1-119, SANTA ROSA BEACH, FL 32459
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3910
FL
332H00000X
Eyewear Supplier
OPC3910
FL
Other
Enumeration date
04/30/2015
Last updated
03/15/2016
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