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Organization

COLLIER VISION GROUP, PA

Active
Other names
Artisan Eye
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORY MATTHEW COLLIER O.D. (PRESIDENT)
(941) 242-2020
Entity
Organization

Contact information

Practice address
5489 LENA RD, LAKEWOOD RANCH, FL 34211
(941) 877-0393
Mailing address
5489 LENA RD, LAKEWOOD RANCH, FL 34211-9449
(941) 242-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4942
FL
152W00000X
Optometrist
OPC4943
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC4942
FL
152WP0200X
Pediatric Optometrist
OPC4943
FL
152WV0400X
Vision Therapy Optometrist
OPC4943
FL

Other

Enumeration date
02/06/2017
Last updated
08/07/2018
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