Premier Eye Clinic

LBN: Premier Eye Clinic
Premier Eye Clinic is an health care organization with primary practice located at 3641 South Clyde Morris Boulevard Suite 500, Port Orange FL 32129-2357. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Premier Eye Clinic can be contacted via phone (386) 788-6198, or through Ge, Qing via phone (386) 788-6198.

Contact Information

Primary practice address
3641 South Clyde Morris Boulevard Suite 500 Port Orange FL 32129-2357
Phone: (386) 788-6198
Fax: (386) 788-4616
Website:
Map and Directions
Authorized official contact:
Name: Ge, Qing M.D., PHD.
Phone: (386) 788-6198

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME96155 Florida

Profile Details

NPI number 1265718894
LBN Legal business name Premier Eye Clinic
DBA Doing business as
Authorized official Ge, Qing M.D., PHD.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2011
Last updated Jul 10th, 2012 - about 12 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 1265718894 NPPES
Florida MEDICAID 277580800

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