Organization
BAYHEAD EYE CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA PATEL O.D. (OWNER/PRESIDENT)
(407) 322-2230
Entity
Organization
Contact information
Practice address
820 W LAKE MARY BLVD, SUITE # 104, SANFORD, FL 32773-5946
(407) 322-2230
(407) 330-6287
Mailing address
820 W LAKE MARY BLVD, SUITE # 104, SANFORD, FL 32773-5946
(407) 322-2230
(407) 330-6287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPL1438
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078034100
—
FL
01
—
OPL1438
LICENSE NUMBER
FL
Enumeration date
07/23/2006
Last updated
02/11/2022
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