Healthcare Provider Details

I. General information

NPI: 1295545390
Provider Name (Legal Business Name): GLOBAL CARE OPTOMETRY II PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 N ALAFAYA TRL UNIT H01
ORLANDO FL
32828-7047
US

IV. Provider business mailing address

1725 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6507
US

V. Phone/Fax

Practice location:
  • Phone: 407-658-1693
  • Fax: 407-658-1694
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: MS. TIA BROOKS
Title or Position: PROJECT MANAGER
Credential:
Phone: 813-455-4325