Individual
ADIS DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2225 SUN VISTA DR, LUTZ, FL 33559-6861
(813) 607-2730
(656) 223-2000
Mailing address
PO BOX 207151, DALLAS, TX 75320-7151
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC5689
FL
152W00000X
Optometrist
Primary
TUV007172
NY
Other
Enumeration date
08/05/2007
Last updated
08/01/2025
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