# WEST COAST EYE INSTITUTE PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST COAST EYE INSTITUTE PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437269446
- **Legal business name:** WEST COAST EYE INSTITUTE PA
- **Authorized official:** DR. JOHN W ROWDA DO (PRESIDENT)
- **Authorized official phone:** (352) 746-2246

## Contact information

- **Practice address:** 240 N LECANTO HWY, LECANTO, FL 34461-9191
- **Practice address phone:** (352) 746-2246
- **Practice address fax:** (352) 746-2807
- **Mailing address:** 240 N LECANTO HWY, LECANTO, FL 34461-9191
- **Mailing address phone:** (352) 746-2246
- **Mailing address fax:** (352) 746-2807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OP1974 | FL | — |
| 207W00000X | Ophthalmology Physician | ME0060384 | FL | — |
| 207W00000X | Ophthalmology Physician | OS0004322 | FL | Yes |
| 332H00000X | Eyewear Supplier | OS0004322 | FL | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 05/03/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 378460600 | — | FL |
| 05 | — | 378460601 | — | FL |
| 01 | — | 5503208 | GHI | — |
| 01 | — | BCBS | 40218 | FL |
| 01 | — | CN2160 | RAILROAD MEDICARE | — |