Community Eye Center Pa
LBN: Community Eye Center Pa
Community Eye Center Pa is an health care organization with primary practice located at 21275 Olean Blvd , Port Charlotte FL 33952-6704. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Community Eye Center Pa can be contacted via phone (941) 625-1325, or through Spadafora, Joseph William via phone (941) 625-1325.
Contact Information
Primary practice address
21275 Olean Blvd
Port Charlotte FL 33952-6704
Phone: (941) 625-1325
Fax: (941) 625-0131
Website:
Authorized official contact:
Name: Spadafora, Joseph William Doctor of Osteopathy (DO)
Phone: (941) 625-1325
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4095 | Florida |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4095 | Florida |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 79133 | Florida |
Profile Details
| NPI number | 1083613095 |
|---|---|
| LBN Legal business name | Community Eye Center Pa |
| DBA Doing business as | |
| Authorized official | Spadafora, Joseph William Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Sep 3rd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083613095 | NPPES |
| Florida | MEDICAID | 0790681-01 | |
| Florida | MEDICAID | 079068101 |
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