# FLORIDA EYE CLINIC P A

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FLORIDA EYE CLINIC PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1760456438
- **Legal business name:** FLORIDA EYE CLINIC PA
- **Authorized official:** GEN PARM (ADMINISTRATOR)
- **Authorized official phone:** (407) 834-7776

## Contact information

- **Practice address:** 229 E RICH AVE, DELAND, FL 32724-4357
- **Practice address phone:** (386) 734-3120
- **Practice address fax:** (386) 734-3125
- **Mailing address:** 160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
- **Mailing address phone:** (407) 834-7776
- **Mailing address fax:** (407) 834-0973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 11/15/2007