Dr. Tyrone John Favis II
Optometrist
10500 Ulmerton Rd
Largo
, Florida 33771-3544
Dr. Tyrone John Favis II
Optometrist
10500 Ulmerton Rd
Largo
, Florida 33771-3544
(407) 625-1930
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Tyrone John Favis II
- 6551 Navajo Trl
- Lakeland, FL
- Zip : 33813-3756
- Phone : (407) 625-1930
Second Address
- Dr. Tyrone John Favis II
- 10500 Ulmerton Rd
- Largo, FL
- Zip : 33771-3544
- Phone : (727) 444-0901
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046010704 | IL |
National Provider Identifier
| NPI | 1003112798 |
|---|---|
| Provider Name | Dr. Tyrone John Favis II |
| First Address | Lakeland, FL 33813-3756 |
| Second Address | Largo, FL 33771-3544 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/01/2011 |
| Last Update Date | 17/07/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.