# CRYSTAL RIVER EYE CENTER,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Envision Eye Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619119948
- **Authorized official:** REGINA I WEBB (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (352) 795-6622

## Contact information

- **Practice address:** 295 SE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-4880
- **Practice address phone:** (216) 338-7773
- **Practice address fax:** (352) 563-2598
- **Mailing address:** PO BOX 3979, SARASOTA, FL 34230-3979
- **Mailing address phone:** (523) 795-6622
- **Mailing address fax:** (352) 563-2598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME061395 | FL | Yes |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | ME61395 | FL | — |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 05/23/2023
