Organization
JO ELLEN TOMLINSON OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ELLEN TOMLINSON OD (OWNER)
(850) 892-4022
Entity
Organization
Contact information
Practice address
1226 FREEPORT HWY S, DEFUNIAK SPRINGS, FL 32435-3396
(850) 892-4022
(850) 892-3975
Mailing address
PO BOX 416, VALPARAISO, FL 32580-0416
(850) 892-4022
(850) 892-3975
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2567
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20416
BCBS
FL
05
—
620133400
—
FL
Enumeration date
04/15/2008
Last updated
07/07/2008
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