# ST CLOUD EYE CENTER INC

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

## Provider details

- **NPI number:** 1215276449
- **Authorized official:** LY T NGUYEN MD (OPHTHALMOLOGIST/MEDICAL DIRECTOR)
- **Authorized official phone:** (407) 891-2010

## Contact information

- **Practice address:** 10727 NARCOOSSEE RD, ORLANDO, FL 32832-6943
- **Practice address phone:** (407) 891-2010
- **Practice address fax:** (407) 891-8211
- **Mailing address:** 4796 LAKE CALABAY DR, ORLANDO, FL 32837-5435
- **Mailing address phone:** (407) 891-2010
- **Mailing address fax:** (407) 891-8211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME94908 | FL | Yes |

## Other

- **Enumeration date:** 02/07/2013
- **Last updated:** 02/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 003838000 | — | FL |