Primary Eyecare Center, Llc

LBN: Primary Eyecare Center, Llc
Primary Eyecare Center, Llc is an health care organization with primary practice located at 323 Page Bacon Rd Ste 13 , Mary Esther FL 32569-1669. 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 Eyecare Center, Llc can be contacted via phone (850) 243-2020, or through Bazarte, Joseph M via phone (850) 243-2020.

Contact Information

Primary practice address
323 Page Bacon Rd Ste 13 Mary Esther FL 32569-1669
Fax: (850) 243-6555
Website:
Authorized official contact:
Name: Bazarte, Joseph M Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1346993599
LBN Legal business name Primary Eyecare Center, Llc
DBA Doing business as
Authorized official Bazarte, Joseph M Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2022
Last updated Feb 24th, 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 1346993599 NPPES
Florida MEDICAID 620189001

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