Organization
PRIMARY EYECARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M BAZARTE OD (OWNER)
(850) 243-2020
Entity
Organization
Contact information
Practice address
323 PAGE BACON RD STE 13, MARY ESTHER, FL 32569-1669
(850) 243-2020
(850) 243-6555
Mailing address
323 PAGE BACON RD STE 13, MARY ESTHER, FL 32569-1669
(850) 243-2020
(850) 243-6555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620189001
—
FL
Enumeration date
01/28/2022
Last updated
02/24/2022
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