# CENTRAL FLORIDA EYE SPECIALISTS PL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennachio Eye
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144033473
- **Authorized official:** CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
- **Authorized official phone:** (916) 990-7590

## Contact information

- **Practice address:** 14244 STATE ROAD 50, CLERMONT, FL 34711-8003
- **Practice address phone:** (352) 227-1999
- **Practice address fax:** (352) 227-1001
- **Mailing address:** 500 ROSS ST 154-0455 BOX 36579, PITTSBURGH, PA 15262-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2025
- **Last updated:** 01/30/2025