# ISLAND EYE SPECIALISTS, APC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154008027
- **Authorized official:** DR. THOMAS AVALLONE MD (OWNER)
- **Authorized official phone:** (318) 237-5531

## Contact information

- **Practice address:** 1317 YNEZ PL STE A, CORONADO, CA 92118-3909
- **Practice address phone:** (760) 575-4541
- **Practice address fax:** (888) 635-8108
- **Mailing address:** 671 B AVE, CORONADO, CA 92118-2225
- **Mailing address phone:** (318) 237-5531
- **Mailing address fax:** (888) 635-8108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | NULL | — |
| 207WX0009X | Glaucoma Specialist (Ophthalmology) Physician | — | — | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 06/30/2023
- **Last updated:** 09/18/2023