Optometric Physician's Group

NPI #1073665766 in Riverview, Florida

Provider Information

NPI Number: 1073665766
Entity Type: Organization
Organization Name: Optometric Physician's Group
Primary Specialty: Optometrist
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 6152 DELANCEY STATION ST
Address 2: STE. 101
City: Riverview
State: Florida
ZIP Code: 33569-4206
Phone: (813) 643-7300

Authorized Official

Name: MRS. DEBRA J. DAHLBERG, O.D.
Title: OPTOMETRIST
Phone: (813) 643-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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