Dr. Willard Cail Pearce Jr., O.D.
Optometrist in Lake Wales, FL. Individual provider (NPI-1).
NPI number1386832905
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1386832905
- Entity type
- Individual (NPI-1)
- Name
- Dr. Willard Cail Pearce Jr.
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2007
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPC 1299 | FL | Yes |
Practice location
1611 State Road 60 ELake Wales, FL 33853-4309
Phone 863-676-2020
Mailing address
1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
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All 9 Optometrist providers in Lake Wales · All 587 providers in Lake Wales
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