# NORTH FLORIDA REGIONAL EYECARE, PA

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

## Provider details

- **NPI number:** 1790845337
- **Authorized official:** DR. JAMES A. STEPHENS O.D. (PRESIDENT)
- **Authorized official phone:** (850) 893-4005

## Contact information

- **Practice address:** 1905 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
- **Practice address phone:** (850) 222-3937
- **Practice address fax:** (850) 893-9987
- **Mailing address:** 1400 VILLAGE SQUARE BLVD, SUITE 3-165, TALLAHASSEE, FL 32312-1250
- **Mailing address phone:** (850) 222-3937
- **Mailing address fax:** (850) 877-0206

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 01/09/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 24269 | BCBS GROUP NUMBER | FL |
| 05 | — | 620174100 | — | FL |