Total Vision of Port Orange, Inc.

NPI #1598984676 in Port Orange, Florida

Provider Information

NPI Number: 1598984676
Entity Type: Organization
Organization Name: Total Vision of Port Orange, Inc.
Primary Specialty: Optometrist
Enumeration Date: Apr 25, 2007
Last Updated: Oct 22, 2009

Practice Location

Address: 5820 S WILLIAMSON BLVD STE 106
City: Port Orange
State: Florida
ZIP Code: 32128-6400
Phone: (386) 767-4449

Authorized Official

Name: DR. PHILLIP L STEPHENS, O.D.
Title: OWNER
Phone: (386) 767-4449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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