Organization
CONTACT LENS & EYE CARE OF PENSACOLA INC
Active
Other names
Contact Lens & Family Eyecare of Pensacola
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP HEATH ANDERSON (CORPORATE SECRETARY)
(850) 262-0018
Entity
Organization
Contact information
Practice address
3111 PEGGY BOND DR, PENSACOLA, FL 32504-5018
(850) 479-7379
(850) 494-9056
Mailing address
3111 PEGGY BOND DR, PENSACOLA, FL 32504-5018
(850) 479-7379
(850) 494-9056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG0628
MEDICARE RR
FL
Enumeration date
07/04/2006
Last updated
10/10/2008
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