Organization
AHAD MAHOOTCHI, MD, PA
Active
Other names
The Eye Clinic of Florida
Organization subpart
No
Provider details
NPI number
Authorized official
AHAD MAHOOTCHI MD (PRESIDENT)
(813) 779-3338
Entity
Organization
Contact information
Practice address
6739 GALL BLVD, ZEPHYRHILLS, FL 33542-2522
(813) 779-3338
(813) 779-3318
Mailing address
PO BOX 1059, ZEPHYRHILLS, FL 33539-1059
(813) 779-3338
(813) 779-3318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
FL
207W00000X
Ophthalmology Physician
Primary
—
FL
332H00000X
Eyewear Supplier
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97315
BCBS FLORIDA GROUP NUMBER
FL
01
—
DE5595
RAILROAD MEDICARE
FL
Enumeration date
05/28/2006
Last updated
01/16/2008
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