Organization
PEDIATRIC OPHTHALMOLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN C JOHNSON JR. M.D. (PHYSICIAN PRESIDENT)
(561) 832-3774
Entity
Organization
Contact information
Practice address
1500 N DIXIE HWY, #200, WEST PALM BEACH, FL 33401-2712
(561) 832-3774
(561) 832-4082
Mailing address
1500 N DIXIE HWY, #200, WEST PALM BEACH, FL 33401-2712
(561) 832-3774
(561) 832-4082
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME55034
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09187
BLUE CROSS BLUE SHIELD
FL
01
—
3739927001
CIGNA
FL
Enumeration date
02/13/2007
Last updated
02/19/2008
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