Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LARISSA DVORAK, OD
Active Sole ProprietorDR. LARISSA DVORAK, OD is a Optometrist healthcare provider located in PORT ORANGE, Florida. NPI 1053631135 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PORT ORANGE, FL
Registration Details
- NPI Number
- 1053631135
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2010 (16.16149009298 yrs)
- Last Updated
- Jun 10, 2010
- License
-
OPC3433 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1590 DUNLAWTON AVEPORT ORANGE, FL, 321274752Browse FL providers · Browse ZIP 32127
- Phone
- 3867561900
- Fax
- 3867568133
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PORT ORANGE, FL
| Name | Credential | NPI |
|---|---|---|
| DR. KIRSTEN REED WILGERS | O.D. | 1265424188 |
| SUZETTE ANN BLAHNIK | O.D. | 1619927118 |
| GREGORY T KIPP | O.D. | 1265488134 |
| DR. FRANK ANTHONY BROOME JR. | O.D. | 1982631792 |
| MRS. ASHLEY C ROYCE | O.D. | 1437336856 |
| ELIZABETH JOSEPHINE LEE | O.D. | 1295126167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.