Organization
PRIMARY EYE CARE GROUP OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SARNO O.D. (TREASURER)
(727) 641-6602
Entity
Organization
Contact information
Practice address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 641-6602
(727) 578-1510
Mailing address
8695 4TH ST N, ST PETERSBURG, FL 33702-3103
(727) 641-6602
(727) 578-1510
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901870001
DMEPOS-PALMETTOGBA
FL
05
—
620622100
—
FL
Enumeration date
05/23/2007
Last updated
05/25/2010
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