Organization · NPI-2

Eye Doctors Optical Outlets PA

Optometrist · Titusville, FL

NPI number1477033934
StatusActive
Last updated in NPPESJan 27, 2025

Details

NPI
1477033934
Entity type
Organization (NPI-2)
Legal business name
Eye Doctors Optical Outlets PA
Organization subpart
No
Enumeration date
Aug 15, 2018
Certification date
Jan 27, 2025
Last updated
Jan 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

2510 S Washington
Suite 140
Titusville, FL 32780

Phone 321-289-3504 · Fax 321-222-9401

Mailing address

5607 Johns Rd
Tampa, FL 33634-4499

Phone 813-885-3937

Authorized official

Robert C. Coppola
President
9549172337

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Optometrist providers in Titusville, FL