# PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1780726877
- **Authorized official:** NORMAN C JOHNSON JR. M.D. (PHYSICIAN PRESIDENT)
- **Authorized official phone:** (561) 832-3774

## Contact information

- **Practice address:** 1500 N DIXIE HWY, \#200, WEST PALM BEACH, FL 33401-2712
- **Practice address phone:** (561) 832-3774
- **Practice address fax:** (561) 832-4082
- **Mailing address:** 1500 N DIXIE HWY, \#200, WEST PALM BEACH, FL 33401-2712
- **Mailing address phone:** (561) 832-3774
- **Mailing address fax:** (561) 832-4082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME55034 | FL | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 02/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 09187 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | 3739927001 | CIGNA | FL |