Organization
EYE CENTER OF NORTH FLORIDA, P.A.
Active
Other names
Eye Center Of North Florida
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRET L FISHER M.D. (PRESIDENT)
(850) 784-3937
Entity
Organization
Contact information
Practice address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
Mailing address
2500 MARTIN LUTHER KING JR BLVD, PANAMA CITY, FL 32405-4412
(850) 784-3937
(850) 522-9829
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
—
—
225X00000X
Occupational Therapist
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257952900
—
FL
01
—
45154
BLUE CROSS & BLUE SHIELD
FL
01
—
CG6943
RR MEDICARE
FL
Enumeration date
07/08/2006
Last updated
04/20/2023
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