# ADVANCED SURGICAL AND MEDICAL EYE CARE P A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eyes at the Villages
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477730653
- **Authorized official:** BARBARA CARDELLI (COMPTROLLER)
- **Authorized official phone:** (352) 753-9888

## Contact information

- **Practice address:** 3479 WEDGEWOOD LN, THE VILLAGES, FL 32162-7183
- **Practice address phone:** (352) 751-0600
- **Practice address fax:** (352) 751-6800
- **Mailing address:** 936 BICHARA BLVD, LADY LAKE, FL 32159-7714
- **Mailing address phone:** (352) 753-9888
- **Mailing address fax:** (352) 753-0947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2612 | FL | — |
| 207W00000X | Ophthalmology Physician | ME0071525 | FL | — |
| 207W00000X | Ophthalmology Physician | ME89546 | FL | Yes |

## Other

- **Enumeration date:** 01/30/2008
- **Last updated:** 08/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184794372 | NPI | FL |
| 01 | — | K1349 | MEDICARE ID | FL |