Evans Eye Care Corp

LBN: Evans Eye Care Corp
Evans Eye Care Corp is an health care organization with primary practice located at 1711 Ne 163Rd St , North Miami Beach FL 33162-4732. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Evans Eye Care Corp can be contacted via phone (302) 670-4096, or through Evans, Shannon via phone (302) 670-4096.

Contact Information

Primary practice address
1711 Ne 163Rd St North Miami Beach FL 33162-4732
Phone: (302) 670-4096
Fax: (305) 949-7301
Website:
Map and Directions
Authorized official contact:
Name: Evans, Shannon Doctor of Optometry (OD)
Phone: (302) 670-4096

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1255815064
LBN Legal business name Evans Eye Care Corp
DBA Doing business as
Authorized official Evans, Shannon Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2018
Last updated Oct 24th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255815064 NPPES
Florida MEDICAID 014059500

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