Palm Coast Eye Center, P.A.

LBN: Palm Coast Eye Center, P.A.
Palm Coast Eye Center, P.A. is an health care organization with primary practice located at 3131 S Tamiami Trl Suite 201, Sarasota FL 34239-5101. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Palm Coast Eye Center, P.A. can be contacted via phone (941) 954-2020, or through Nichols, Lisa Renee via phone (941) 794-2020.

Contact Information

Primary practice address
3131 S Tamiami Trl Suite 201 Sarasota FL 34239-5101
Fax: (941) 953-3937
Website:
Authorized official contact:
Name: Nichols, Lisa Renee

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC3917 Florida
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0045451 Florida

Profile Details

NPI number 1053365056
LBN Legal business name Palm Coast Eye Center, P.A.
DBA Doing business as
Authorized official Nichols, Lisa Renee
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Apr 10th, 2008 - about 16 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 1053365056 NPPES
Florida Other CJ5917 RAILROAD MEDICARE GROUP

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