PETER O IM

JACKSONVILLE, FL
NPI1922078583
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: CA  11597T)
Additional Taxonomies152W00000X Optometrist
(Licence: WA  3677)
152W00000X Optometrist
(Licence: OR  2912AT)
Enumeration Date2006-01-25
Last Update Date2019-02-27
Business Address
Dr. PETER O IM O.D.
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-7194
Mailing Address
Dr. PETER O IM O.D.
3475 N SARATOGA ST
OAK HARBOR, WA 98278-4927
Phone number: 360-257-9600