Organization
COLLEGE EYECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A CLARK O.D. (MANAGER)
(352) 409-5783
Entity
Organization
Contact information
Practice address
11099 SW 10TH ST, MIAMI, FL 33199-0001
(305) 348-8439
Mailing address
2984 ALAFAYA TRL, # 1030, OVIEDO, FL 32765-7628
(352) 409-5783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1726
FL
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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