# CENTRAL FLORIDA EYE CARE ASSOICATES, INC.

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

## Provider details

- **NPI number:** 1285965277
- **Authorized official:** RUBEN E. CARLSON O.D. (OWNER)
- **Authorized official phone:** (813) 979-2929

## Contact information

- **Practice address:** 1815 E. FOWLER AVE., TAMPA, FL 33612
- **Practice address phone:** (813) 979-2929
- **Practice address fax:** (813) 979-9479
- **Mailing address:** 1815 E. FOWLER AVE., TAMPA, FL 33612
- **Mailing address phone:** (813) 979-2929
- **Mailing address fax:** (813) 979-9479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4262 | FL | Yes |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |

## Other

- **Enumeration date:** 01/15/2010
- **Last updated:** 05/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GROUP002126700 | — | FL |