Organization
FLORIDA EYE CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY PAPPAS (ADMINSTRATOR)
(407) 834-7776
Entity
Organization
Contact information
Practice address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
Mailing address
160 BOSTON AVE, ALTAMONTE SPRINGS, FL 32701-4706
(407) 834-7776
(407) 834-0973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208488100
—
FL
Enumeration date
02/17/2006
Last updated
11/15/2016
Update your record
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