# PASADENA EYE CENTER, LLC

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

## Provider details

- **NPI number:** 1528083755
- **Authorized official:** DR. DAVID E. HALL M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 343-3004

## Contact information

- **Practice address:** 6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
- **Practice address phone:** (727) 343-3004
- **Practice address fax:** (727) 343-9521
- **Mailing address:** 6950 CENTRAL AVE, ST PETERSBURG, FL 33707-1210
- **Mailing address phone:** (727) 343-3004
- **Mailing address fax:** (727) 343-9521

## Taxonomy

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

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 05/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 33343 | BLUE CROSS/BLUE SHIELD | FL |
| 01 | — | 5451200001 | CIGNA GOVERNMENT SERVICES | FL |
| 01 | — | DD6403 | RAILROAD MEDICARE | FL |