Organization Name: | EYE CENTER OF NORTH FLORIDA P A |
NPI Number: | 1912002395 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHI NICHOLS (OFFICE MANAGER) |
Mailing Address: | 528b 5th St Port St Joe |
State: | FL US |
Postal Code: | 324561754 |
Phone Number: | 8502277266 |
Fax Number: | 8502292595 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 03/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |