Organization
NORTH FLORIDA REGIONAL EYECARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A STEPHENS OD (PRESIDENT)
(850) 893-4005
Entity
Organization
Contact information
Practice address
1905 CAPITAL CIR NE, TALLAHASSEE, FL 32308-4421
(850) 222-3937
(850) 877-0206
Mailing address
1400 VILLAGE SQUARE BLVD, SUITE 3-165, TALLAHASSEE, FL 32312-1250
(850) 222-3937
(850) 877-0206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC935
FL
207W00000X
Ophthalmology Physician
Primary
ME71349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24269
BCBS
FL
05
—
620174100
—
FL
Enumeration date
06/08/2011
Last updated
01/09/2017
Update your record
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