# SUNCOAST EYE CENTER PA

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

## Provider details

- **NPI number:** 1487643631
- **Authorized official:** DR. ALAN M FREEDMAN M.D. (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 868-9442

## Contact information

- **Practice address:** 14003 LAKESHORE BLVD, HUDSON, FL 34667-7124
- **Practice address phone:** (727) 868-9442
- **Practice address fax:** (727) 862-6210
- **Mailing address:** 14003 LAKESHORE BLVD, HUDSON, FL 34667-7124
- **Mailing address phone:** (727) 868-9442
- **Mailing address fax:** (727) 862-6210

## Taxonomy

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

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 09/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 253038400 | — | FL |
| 01 | — | 98920 | BCBSFL | FL |
| 01 | — | CL6228 | RR MEDICARE | FL |