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Organization

EYE CENTER OF NORTH FLORIDA, P.A.

Active
Parent organization
EYE CENTER OF NORTH FLORIDA
Other names
Panama City Beach Office
Organization subpart
Yes

Provider details

NPI number
Legal business name
EYE CENTER OF NORTH FLORIDA
Authorized official
MS. KATHI NICHOLS (OFFICE MANAGER)
(850) 784-3937
Entity
Organization

Contact information

Practice address
10900 HUTCHISON BLVD, PANAMA CITY BEACH, FL 32407-3712
(850) 234-1829
(850) 233-5493
Mailing address
2500 MARTIN LUTHER KING JR. BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9839

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152WC0802X
Corneal and Contact Management Optometrist
152WL0500X
Low Vision Rehabilitation Optometrist
152WP0200X
Pediatric Optometrist
207W00000X
Ophthalmology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257952903
FL
01
45154A
BLUE CROSS & BLUE SHIELD
FL
01
CG6943
RAILROAD MEDICARE
FL
Enumeration date
09/13/2006
Last updated
04/20/2023
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