Individual provider · Type 1 NPI

Stacey Elizabeth Illikal, OD

Optometrist · St. Petersburg, FL

NPI number 1780257626 Active

Practice location

3301 4th St N
St. Petersburg, FL 33704-1305

Call (727) 821-9540 Map

Fax (727) 823-1487

Mailing address

4112 Imperial Eagle Dr
Valrico, FL 33594-3965

Specialties and licenses

Taxonomy	Code	License
Optometrist Primary	152W00000X	OPC5958 (FL)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1780257626

Stacey Elizabeth Illikal, OD's National Provider Identifier is 1780257626, issued on Jul 19, 2021. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jul 19, 2021.