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Organization
PLESSEN EYE, LLC
Active
Organization
PLESSEN EYE, LLC
Active
Parent organization
PLESSEN HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLESSEN HEALTHCARE, LLC
Authorized official
DR. JAN BIJAN TAWAKOL M.D. (PRESIDENT/CEO)
(340) 715-7720
Entity
Organization
Contact information
Practice address
5 ORANGE GROVE, CHRISTIANSTED, VI 00820
(340) 715-7720
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
VI
208600000X
Surgery Physician
—
VI
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
VI
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457775785
NPI
VI
Enumeration date
05/20/2014
Last updated
02/16/2022
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