Provider Demographics
NPI:1477177319
Name:NEAL, ERIN (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 FERNLEIGH DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-7884
Mailing Address - Country:US
Mailing Address - Phone:850-391-8900
Mailing Address - Fax:850-391-8902
Practice Address - Street 1:2176 CAPITAL CIR SE STE 301
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-6267
Practice Address - Country:US
Practice Address - Phone:850-391-8900
Practice Address - Fax:850-391-8902
Is Sole Proprietor?:No
Enumeration Date:2020-06-06
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5786152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist