Individual
DR. AUSTIN EMORY FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
161 HAMPTON POINT DR STE 3, ST AUGUSTINE, FL 32092-3058
(904) 204-3345
Mailing address
6204 MACKENZIE PL, SPRINGFIELD, IL 62711-6748
(217) 206-5453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6252
FL
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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