Provider Demographics
NPI:1295545390
Name:GLOBAL CARE OPTOMETRY II PA
Entity type:Organization
Organization Name:GLOBAL CARE OPTOMETRY II PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DAMARIS RIVERA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMARIS RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-455-4325
Mailing Address - Street 1:1725 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6507
Mailing Address - Country:US
Mailing Address - Phone:334-263-9378
Mailing Address - Fax:
Practice Address - Street 1:741 N ALAFAYA TRL UNIT H01
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7047
Practice Address - Country:US
Practice Address - Phone:407-658-1693
Practice Address - Fax:407-658-1694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty