# EYE ASSOCIATES OF PLANTATION INC

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

## Provider details

- **NPI number:** 1942265368
- **Authorized official:** JACQUELYN LEVY MD (OWNER)
- **Authorized official phone:** (954) 792-6411

## Contact information

- **Practice address:** 499 NW 70 AVENUE, SUITE 100, PLANTATION, FL 33317
- **Practice address phone:** (954) 792-6411
- **Practice address fax:** (954) 792-4460
- **Mailing address:** 499 NW 70TH AVE STE 100, PLANTATION, FL 33317-7572
- **Mailing address phone:** (954) 792-6411
- **Mailing address fax:** (954) 792-4460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 100542 | FL | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 11/14/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 264482700 | — | FL |
| 01 | — | 34376 | BLUE CROSS BLUE SHIELD | FL |