Primary Eye Care Group Od Pa

LBN: Primary Eye Care Group Od Pa
Primary Eye Care Group Od Pa is an health care organization with primary practice located at 8695 4Th St N , St Petersburg FL 33702-3103. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Primary Eye Care Group Od Pa can be contacted via phone (727) 641-6602, or through Sarno, Mark via phone (727) 641-6602.

Contact Information

Primary practice address
8695 4Th St N St Petersburg FL 33702-3103
Phone: (727) 641-6602
Fax: (727) 578-1510
Website:
Map and Directions
Authorized official contact:
Name: Sarno, Mark Doctor of Optometry (OD)
Phone: (727) 641-6602

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1609086420
LBN Legal business name Primary Eye Care Group Od Pa
DBA Doing business as
Authorized official Sarno, Mark Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated May 25th, 2010 - about 15 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 1609086420 NPPES
Florida MEDICAID 620622100
Florida Other 0901870001

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