Organization
OPTICAL RETAIL ASSOCIATES, LLC
Active
Other names
Northwest Florida Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL H SPEAR OD (OWNER/OPTOMETRIST)
(850) 549-3450
Entity
Organization
Contact information
Practice address
5113 N DAVIS HWY, SUITE 11, PENSACOLA, FL 32503-2035
(850) 549-3450
(850) 497-6219
Mailing address
5113 N DAVIS HWY, SUITE 11, PENSACOLA, FL 32503-2035
(850) 549-3450
(850) 497-6219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003669300
—
FL
Enumeration date
05/12/2011
Last updated
12/19/2014
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