Organization
CRYSTAL RIVER EYE CENTER,LLC
Active
Other names
Envision Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA I WEBB (PRACTICE ADMINISTRATOR)
(352) 795-6622
Entity
Organization
Contact information
Practice address
295 SE US HIGHWAY 19, CRYSTAL RIVER, FL 34429-4880
(216) 338-7773
(352) 563-2598
Mailing address
PO BOX 3979, SARASOTA, FL 34230-3979
(523) 795-6622
(352) 563-2598
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME061395
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
ME61395
FL
Other
Enumeration date
04/01/2009
Last updated
05/23/2023
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