NPI 1053548313

Avalon Park Eye Care, LLC

Organisation Optometrist Orlando, FL

Practice location

Address: 12001 Avalon Lake Dr Suite J, Orlando, FL 32828-7375
Phone: (407) 567-9955
Fax: (407) 567-9966

Authorised official

Name: Kenneth John Tesinsky
Title: President/Optometrist
Phone: (407) 567-9955

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC3836 (FL)

Other Optometrist providers in Florida →

Registry record

NPI: 1053548313
Entity type: Organization
NPI issued: 14 Jun 2009
Record last updated: 10 May 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.