TOMOKA EYE ASSOCIATES P.A. NPI 1891747176

NPI Information

TOMOKA EYE ASSOCIATES, P.A. is a customized equipment durable medical equipment medical supplies in Port Orange, FL. TOMOKA EYE ASSOCIATES, P.A. NPI is 1891747176. The provider is registered as an organization entity type.
The provider Is Doing Business As Tomoka Optical.

The provider's business location address is:

790 DUNLAWTON AVE
SUITE A
PORT ORANGE, FL
ZIP 32127-222
Phone: (386) 767-0053
Fax: (386) 767-3490

The provider's authorized official is Allison Kern .
The authorized official title is Office/billing Manager and has the following contact phone number (386) 506-8403.

The CLIA number assigned to this NPI record is 10D2113324 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 3/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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