Organization
PRIMARY EYE CARE CENTER
Active
Other names
Joseph M. Bazarte OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH M BAZARTE O.D. (OWNER)
(850) 243-2020
Entity
Organization
Contact information
Practice address
323 PAGE BACON RD, SUITE 13, MARY ESTHER, FL 32569-1610
(850) 243-7100
(850) 243-6555
Mailing address
323 PAGE BACON RD, SUITE 13, MARY ESTHER, FL 32569-1610
(850) 243-7100
(850) 243-6555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620189001
—
FL
Enumeration date
02/06/2007
Last updated
06/21/2018
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