Provider Demographics
NPI:1578000626
Name:OCALA EYE OPTICAL, INC
Entity type:Organization
Organization Name:OCALA EYE OPTICAL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ZORA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-622-5183
Mailing Address - Street 1:4414 SW COLLEGE RD UNIT 1462
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-2701
Mailing Address - Country:US
Mailing Address - Phone:352-622-7404
Mailing Address - Fax:352-622-3834
Practice Address - Street 1:1950 LAUREL MANOR DR STE 250
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-5602
Practice Address - Country:US
Practice Address - Phone:352-629-7404
Practice Address - Fax:352-622-3834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier