Organization
ADVANCED SURGICAL AND MEDICAL EYE CARE P A
Active
Other names
Eyes at the Villages
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CARDELLI (COMPTROLLER)
(352) 753-9888
Entity
Organization
Contact information
Practice address
3479 WEDGEWOOD LN, THE VILLAGES, FL 32162-7183
(352) 751-0600
(352) 751-6800
Mailing address
936 BICHARA BLVD, LADY LAKE, FL 32159-7714
(352) 753-9888
(352) 753-0947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2612
FL
207W00000X
Ophthalmology Physician
ME0071525
FL
207W00000X
Ophthalmology Physician
Primary
ME89546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184794372
NPI
FL
01
—
K1349
MEDICARE ID
FL
Enumeration date
01/30/2008
Last updated
08/18/2010
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