Organization
EYE SHOP
Active
Other names
Rowan Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAREY T ROWAN M.D. (OWNER)
(727) 847-0889
Entity
Organization
Contact information
Practice address
5305 GRAND BLVD, NEW PORT RICHEY, FL 34652-4014
(727) 847-0889
(727) 846-0889
Mailing address
5305 GRAND BLVD, NEW PORT RICHEY, FL 34652-4014
(727) 847-0889
(727) 846-8458
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
ME82259
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006703100
—
FL
01
—
40052
MEDICARE PTAN
FL
Enumeration date
08/18/2016
Last updated
08/18/2016
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