Eyestat Optometric Services, P.a.

NPI #1093158404 in Princeton, North Carolina

Provider Information

NPI Number: 1093158404
Entity Type: Organization
Organization Name: Eyestat Optometric Services, P.a.
Primary Specialty: Optometrist
Enumeration Date: Apr 16, 2013
Last Updated: Jun 10, 2013

Practice Location

Address: 720 PONDFIELD RD
City: Princeton
State: North Carolina
ZIP Code: 27569
Phone: (813) 385-4738

Authorized Official

Name: MR. KENNETH RICHARD STATSICK, OD
Title: OWNER
Phone: (813) 385-4738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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