Organization
EYE HEALTH & VISION CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MARK RUBIN O.D. (PRESIDENT)
(941) 493-3763
Entity
Organization
Contact information
Practice address
107 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-3763
(941) 492-9179
Mailing address
107 SHAMROCK BLVD, VENICE, FL 34293-1630
(941) 493-3763
(941) 492-9179
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078478800
—
FL
01
—
580001929
RAILROAD MEDICARE
FL
01
—
AG551
PTAN
—
Enumeration date
04/02/2007
Last updated
08/19/2015
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