Organization
EYE DOCTORS OPTICAL OUTLETS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANETTE ALLGOOD (CREDENTIALING MANAGER)
(800) 353-5420
Entity
Organization
Contact information
Practice address
1230 POSNER BLVD, DAVENPORT, FL 33837-3609
(863) 623-3155
(863) 333-5667
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
08/14/2018
Last updated
10/21/2022
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