Organization
ERICKSON COSTELLO BUTLER ERICKSON OPTOMETRIST PA
Active
Other names
Eyecare Professionals
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL ERICKSON (PRESIDENT)
(561) 582-3383
Entity
Organization
Contact information
Practice address
1280 W LANTANA RD, SUITE 1, LANTANA, FL 33462-1543
(561) 582-3383
(561) 582-8821
Mailing address
1280 W LANTANA RD, SUITE 1, LANTANA, FL 33462-1543
(561) 582-3383
(561) 582-8821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OP0001024
FL
152W00000X
Optometrist
OP0002227
FL
152W00000X
Optometrist
OP0002687
FL
152W00000X
Optometrist
Primary
OP000675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497705917
NPI NUMBER DR. TODD ERICK
FL
01
—
1508817099
NPI NUMBER DR. DAVID BUTL
FL
01
—
1528019080
NPI NUMBER DR. NEIL ERICK
FL
01
—
1639129869
NPI NUMBER DR. SANDY COST
FL
05
—
620476700
—
FL
Enumeration date
01/09/2007
Last updated
09/15/2010
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