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Organization

WEST COAST EYE INSTITUTE PA

Active
Parent organization
WEST COAST EYE INSTITUTE PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST COAST EYE INSTITUTE PA
Authorized official
DR. JOHN W ROWDA DO (PRESIDENT)
(352) 746-2246
Entity
Organization

Contact information

Practice address
240 N LECANTO HWY, LECANTO, FL 34461-9191
(352) 746-2246
(352) 746-2807
Mailing address
240 N LECANTO HWY, LECANTO, FL 34461-9191
(352) 746-2246
(352) 746-2807

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP1974
FL
207W00000X
Ophthalmology Physician
ME0060384
FL
207W00000X
Ophthalmology Physician
Primary
OS0004322
FL
332H00000X
Eyewear Supplier
OS0004322
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378460600
FL
05
378460601
FL
01
5503208
GHI
01
BCBS
40218
FL
01
CN2160
RAILROAD MEDICARE
Enumeration date
08/30/2006
Last updated
05/03/2011
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