# EMERALD COAST EYE INSTITUTE LLC

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

## Provider details

- **NPI number:** 1669421467
- **Authorized official:** NOREEN POPPELL (ADMINSTRATIOR)
- **Authorized official phone:** (850) 862-4001

## Contact information

- **Practice address:** 911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
- **Practice address phone:** (850) 862-4001
- **Practice address fax:** (850) 862-1612
- **Mailing address:** 911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
- **Mailing address phone:** (850) 862-4001
- **Mailing address fax:** (850) 862-1612

## Taxonomy

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

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 11/06/2023