Organization
EYE WORKS OF LAND O' LAKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEE ME KANICKY O.D. (OFFICER)
(813) 949-1982
Entity
Organization
Contact information
Practice address
21517 VILLAGE LAKES SHOPPING CTR DR, LAND O LAKES, FL 34639-5101
(813) 949-1982
(813) 948-0351
Mailing address
3249 STONEGATE FALLS DR, LAND O LAKES, FL 34638-6195
(813) 495-8883
(813) 948-0351
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC001159
FL
152W00000X
Optometrist
OPC003906
FL
152W00000X
Optometrist
Primary
OPC003907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084928600
—
FL
05
—
621016300
—
FL
05
—
621017100
—
FL
Enumeration date
01/04/2010
Last updated
06/03/2013
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