Organization
COREN EYE GROUP PLLC
Active
Other names
Eyecare Center of Leesburg
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW VU TRAN OD (AUTHORIZED MEMBER)
(407) 256-3763
Entity
Organization
Contact information
Practice address
112 E DIXIE AVE, LEESBURG, FL 34748-6350
(352) 787-1956
(352) 365-6690
Mailing address
4137 BRIAR GATE LN, WINTER GARDEN, FL 34787-5521
(407) 256-3763
(407) 386-7664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621137200
—
FL
Enumeration date
08/30/2017
Last updated
12/06/2017
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