Port St. Joe Office
LBN: Eye Center Of North Florida, P.A.
Port St. Joe Office is an health care organization with primary practice located at 528B 5Th St , Port St Joe FL 32456-1754. The organization recently has 6 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Eye Center Of North Florida, P.A. can be contacted via phone (850) 227-7266, or through Nichols, Kathi via phone (850) 784-3937.
Contact Information
Primary practice address
528B 5Th St
Port St Joe FL 32456-1754
Phone: (850) 227-7266
Fax: (850) 229-2595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | ||
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | ||
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1912002395 |
|---|---|
| LBN Legal business name | Eye Center Of North Florida, P.A. |
| DBA Doing business as | Port St. Joe Office |
| Authorized official | Nichols, Kathi |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Apr 20th, 2023 - about last year |
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 | 1912002395 | NPPES |
| Florida | Other | 1740213529 | GROUP NPI |
| Florida | Other | CG6943 | GROUP NPI |
| Florida | MEDICAID | 257952901 | GROUP NPI |
| Florida | Other | 45154C | GROUP NPI |
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