Provider Demographics
NPI:1578637559
Name:ORR, DIONNE CAMILLE (OD)
Entity type:Individual
Prefix:MISS
First Name:DIONNE
Middle Name:CAMILLE
Last Name:ORR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:4317 WEST GORGE LANE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:34465
Mailing Address - Country:US
Mailing Address - Phone:305-498-4315
Mailing Address - Fax:210-524-6587
Practice Address - Street 1:4085 WEDGEWOOD LANE
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162
Practice Address - Country:US
Practice Address - Phone:352-259-3575
Practice Address - Fax:770-522-8234
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GAOT002287152W00000X
FLOPC4368152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist