Fazio, Eric A
Fazio, Eric A is an individual health care provider with primary practice located at 13904 N Dale Mabry Hwy Suite 200, Tampa FL 33618-2446. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fazio, Eric A can be contacted via phone (813) 908-2020.Contact Information
Primary practice address
13904 N Dale Mabry Hwy Suite 200
Tampa FL 33618-2446
Phone: (813) 908-2020
Fax: (813) 908-2133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3003 | Florida |
Profile Details
| NPI number | 1447245246 |
|---|---|
| LBN Legal business name | Fazio, Eric A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2005 |
| Last updated | Mar 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447245246 | NPPES |
| Florida | MEDICAID | 006636600 |
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