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Organization

DR R KEITH AMIEL-OPTOMETRIST P A

Active
Other names
Amiel Eyecare Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. R. KEITH AMIEL -OPTOMETRIST P A (OWNER-PRESIDENT)
(850) 243-3111
Entity
Organization

Contact information

Practice address
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4915
(850) 243-3111
(850) 200-4373
Mailing address
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4915
(850) 243-3111
(850) 200-4373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC874
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078299300
FL
01
19461
BCBS
FL
Enumeration date
08/26/2010
Last updated
10/11/2010
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