Orlando North Eye Clinic, Llc

LBN: Orlando North Eye Clinic, Llc
Orlando North Eye Clinic, Llc is an health care organization with primary practice located at 3300 W Lake Mary Blvd Ste 210 , Lake Mary FL 32746-3499. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Orlando North Eye Clinic, Llc can be contacted via phone (407) 431-0580, or through Sheraly, Aly Reza via phone (407) 431-0580.

Contact Information

Primary practice address
3300 W Lake Mary Blvd Ste 210 Lake Mary FL 32746-3499
Phone: (407) 431-0580
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sheraly, Aly Reza Doctor of Medicine (MD)
Phone: (407) 431-0580

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1942945951
LBN Legal business name Orlando North Eye Clinic, Llc
DBA Doing business as
Authorized official Sheraly, Aly Reza Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2022
Last updated Aug 29th, 2022 - about 2 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 1942945951 NPPES
Florida MEDICAID 103596500

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