Organization
EAST LAKE EYECARE & EYEWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA M RUSOFF O.D. (PRESIDENT)
(727) 781-7922
Entity
Organization
Contact information
Practice address
3434 E LAKE RD STE 3, PALM HARBOR, FL 34685-2401
(727) 781-7922
Mailing address
3434 E LAKE RD STE 3, PALM HARBOR, FL 34685-2401
(727) 781-7922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3810
FL
Other
Enumeration date
11/08/2006
Last updated
09/20/2014
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