# EYE SURGERY ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1396382719
- **Authorized official:** GEORGE L NEAL (PRESIDENT)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 300 S PARK RD STE 300, HOLLYWOOD, FL 33021-8353
- **Practice address phone:** (954) 925-2740
- **Practice address fax:** (954) 923-8379
- **Mailing address:** 300 S PARK RD STE 300, HOLLYWOOD, FL 33021-8353
- **Mailing address phone:** (954) 925-2740
- **Mailing address fax:** (954) 923-8379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 11/30/2022
