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Organization

EMERALD COAST EYE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM PAYTON PATTERSON O.D. (OPTOMETRIST)
(850) 832-3421
Entity
Organization

Contact information

Practice address
1714 W 23RD ST, SUITE K, PANAMA CITY, FL 32405-2932
(850) 215-9101
(850) 215-9102
Mailing address
1714 W 23RD ST, SUITE K, PANAMA CITY, FL 32405-2932
(850) 215-9101
(850) 215-9102

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4373
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6323570001
PTAN
FL
Enumeration date
06/09/2009
Last updated
11/06/2012
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