Organization
ADVANCED SURGICAL AND MEDICAL EYE CARE
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
8784 SE 165TH MULBERRY LN, THE VILLAGES, FL 32162-5861
(352) 753-4530
(352) 259-5862
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
—
1219930002
DME
FL
01
—
K1349
MEDICARE ID
FL
Enumeration date
02/05/2008
Last updated
03/06/2008
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