Organization
PRESTON H. STARKS FAMILY EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRESTON HENRY STARKS OD (OPTOMETRIST)
(904) 564-4177
Entity
Organization
Contact information
Practice address
12100 LEM TURNER RD, JACKSONVILLE, FL 32218-2304
(904) 564-4177
(904) 641-8072
Mailing address
2641 LANTANA LAKES CT, JACKSONVILLE, FL 32246-4634
(904) 564-4177
(904) 641-8072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2779
FL
Other
Enumeration date
12/07/2010
Last updated
02/04/2011
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