# EYE OF HORUS PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Boca Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164421418
- **Authorized official:** DR. BRENT BELLOTTE M.D. (CEO, WEST BOCA EYE CENTER)
- **Authorized official phone:** (561) 488-1001

## Contact information

- **Practice address:** 9325 GLADES RD, SUITE 201, BOCA RATON, FL 33434-3907
- **Practice address phone:** (561) 488-1001
- **Mailing address:** 9325 GLADES ROAD, SUITE 201, BOCA RATON, FL 33434-3405
- **Mailing address phone:** (561) 488-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME 93252 | FL | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 01/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 08-00553 | UNITED HEALTH CARE | FL |
| 01 | — | 63665 | GREAT WEST HEALTH CARE | FL |
| 01 | — | 7456729 | AETNA | FL |
| 01 | — | DE5206 | RAIL ROAD MEDICARE | FL |
| 01 | — | PCS1492 | PARTNER CARE | FL |
