Provider Demographics
NPI:1255830592
Name:MACEY E. MCALEER, O.D. INC
Entity Type:Organization
Organization Name:MACEY E. MCALEER, O.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MACEY
Authorized Official - Middle Name:E
Authorized Official - Last Name:MCALEER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-348-3941
Mailing Address - Street 1:7615 S TRASK ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-2156
Mailing Address - Country:US
Mailing Address - Phone:617-512-1260
Mailing Address - Fax:
Practice Address - Street 1:1544 N DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-2551
Practice Address - Country:US
Practice Address - Phone:813-348-3941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-01
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4348152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty