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General NPI Number Information
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NPI Number | 1447655865
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Entity Type | Organization
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Legal Business Name | HOPE VISION DEVELOPMENT CENTER, LLC
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 1184 S GRAND HWY
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City | CLERMONT
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State | FL
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Zip | 34711-3203
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Country | US
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Telephone | 352-243-4673
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Fax | 352-260-0884
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Provider Business Mailing Address
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Address Line | PO BOX 121219
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City | CLERMONT
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State | FL
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Zip | 34712-1219
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Country | US
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Telephone | 352-243-4673
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Fax | 352-260-0884
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ALLISON REIPRECHT TOLER
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Credential | OD
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Telephone | 352-243-4673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State | FL
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