Organization
BW VISION CARE P.A.
Active
Other names
Bright Eyes Family Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN JAMES BONILLA-WARFORD O.D. (PRESIDENT)
(813) 792-0637
Entity
Organization
Contact information
Practice address
10108 MONTAGUE ST, TAMPA, FL 33626-1856
(813) 792-0637
(813) 792-0657
Mailing address
10108 MONTAGUE ST, TAMPA, FL 33626-1856
(813) 792-0637
(813) 792-0657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4098
FL
Other
Enumeration date
08/14/2006
Last updated
08/22/2020
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