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General NPI Number Information
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NPI Number | 1104725373
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Entity Type | Organization
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Legal Business Name | MYEYEDR OPTOMETRY OF FLORIDA, LLC
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 5360 HAMLIN GROVES TRL STE 100
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4484
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Country | US
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Telephone | 352-386-0671
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Fax | 407-776-8364
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Provider Business Mailing Address
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Address Line | 8614 WESTWOOD CENTER DR FL 9
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City | VIENNA
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State | VA
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Zip | 22182-2442
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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Authorized Official
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Title or Position | SECRETARY
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Name | SUE ANN DOWNES
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Credential |
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Telephone | 785-492-5871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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