Organization
LANGE EYE CARE & ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIE LANGE (REGIONAL DIRECTOR)
(352) 237-3768
Entity
Organization
Contact information
Practice address
3968 SW ARCHER RD # W101, GAINESVILLE, FL 32608-2342
(352) 376-6622
(352) 237-0561
Mailing address
3101 SW COLLEGE RD, OCALA, FL 34474-8459
(352) 237-3768
(352) 237-0561
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326320001
DME
FL
05
—
620668901
—
FL
Enumeration date
05/26/2008
Last updated
10/08/2008
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