Provider Demographics
NPI:1003169210
Name:POMAKIS, KATHRYN MAR JIP (OD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:MAR JIP
Last Name:POMAKIS
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:1500 SE MAGNOLIA EXT, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4452
Mailing Address - Country:US
Mailing Address - Phone:352-622-5183
Mailing Address - Fax:352-629-5026
Practice Address - Street 1:4414 SW COLLEGE RD STE 1462
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-4790
Practice Address - Country:US
Practice Address - Phone:352-622-5183
Practice Address - Fax:352-629-5026
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC4899152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist