# GAINESVILLE EYE PHYSICIANS PA

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

## Provider details

- **NPI number:** 1992846471
- **Authorized official:** KYLE C BALCH (OFFICER)
- **Authorized official phone:** (352) 331-7811

## Contact information

- **Practice address:** 6717 NW 11TH PL, SUITE A, GAINESVILLE, FL 32605-4236
- **Practice address phone:** (352) 331-7811
- **Practice address fax:** (352) 331-3219
- **Mailing address:** 6717 NW 11TH PL, SUITE A, GAINESVILLE, FL 32605-4236
- **Mailing address phone:** (352) 331-7811
- **Mailing address fax:** (352) 331-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME50649 | FL | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 06/10/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 40221A | GROUP \# | FL |