Advanced Eye Cre Of Bay Cn
LBN: Park Avenue Ophthalmics, Pllc
Advanced Eye Cre Of Bay Cn is an health care organization with primary practice located at 2500 W 23Rd St , Panama City FL 32405-2349. 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.
Park Avenue Ophthalmics, Pllc can be contacted via phone (850) 784-3936, or through Hasty, Benjamin R via phone (850) 784-3936.
Contact Information
Primary practice address
2500 W 23Rd St
Panama City FL 32405-2349
Phone: (850) 784-3936
Fax: (850) 784-3539
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1164460069 |
|---|---|
| LBN Legal business name | Park Avenue Ophthalmics, Pllc |
| DBA Doing business as | Advanced Eye Cre Of Bay Cn |
| Authorized official | Hasty, Benjamin R Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Mar 13th, 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 | 1164460069 | NPPES |
| Florida | Other | 38903 | BCBS FL |
| Florida | MEDICAID | 259391200 | BCBS FL |
| Florida | Other | CM3172 | BCBS FL |
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