Organization
EYE CARE PROFESSIONALS
Active
Organization
EYE CARE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE WORTHEN (CREDENTIALING SPECIALIST)
(727) 755-0693
Entity
Organization
Contact information
Practice address
10685 PROFESSIONAL CIR, SUITE A, RENO, NV 89521-5856
(775) 322-1000
Mailing address
311 PARK PLACE BLVD, 5TH FLOOR, CLEARWATER, FL 33759-4904
(727) 755-0693
(727) 755-0679
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
9064
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506279
—
NV
Enumeration date
02/04/2016
Last updated
11/22/2022
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