# BAYHEAD EYE CENTRE

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

## Provider details

- **NPI number:** 1700807682
- **Authorized official:** DR. MONA PATEL O.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (407) 322-2230

## Contact information

- **Practice address:** 820 W LAKE MARY BLVD, SUITE \# 104, SANFORD, FL 32773-5946
- **Practice address phone:** (407) 322-2230
- **Practice address fax:** (407) 330-6287
- **Mailing address:** 820 W LAKE MARY BLVD, SUITE \# 104, SANFORD, FL 32773-5946
- **Mailing address phone:** (407) 322-2230
- **Mailing address fax:** (407) 330-6287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPL1438 | FL | Yes |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 02/11/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078034100 | — | FL |
| 01 | — | OPL1438 | LICENSE NUMBER | FL |