Organization
CLARK EYE CARE CENTER
Active
Other names
Lentsch Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J LENTSCH OD (OWNER)
(352) 732-0046
Entity
Organization
Contact information
Practice address
810 NE 25TH AVE, OCALA, FL 34470
(352) 732-0046
Mailing address
810 NE 25TH AVE, OCALA, FL 34470-6335
(352) 732-0046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5388
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086895700
—
FL
01
—
DC2053
MEDICARE NSC
—
Enumeration date
10/25/2007
Last updated
05/22/2019
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