Organization
EYE DOCTORS OPTICAL OUTLETS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C. COPPOLA OD (PRESIDENT)
(954) 917-2337
Entity
Organization
Contact information
Practice address
586 N HWY 27/441, LADY LAKE, FL 32159-3776
(352) 350-5298
(352) 414-5532
Mailing address
5607 JOHNS RD, TAMPA, FL 33634-4317
(813) 885-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
01/31/2025
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