Thayer Eye Care Center

LBN: Thayer Eye Care Pa
Thayer Eye Care Center is an health care organization with primary practice located at 27 Us 27 S , Lake Placid FL 33852-7916. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Thayer Eye Care Pa can be contacted via phone (863) 465-4904, or through Thayer, Glenn R via phone (863) 465-4904.

Contact Information

Primary practice address
27 Us 27 S Lake Placid FL 33852-7916
Fax: (863) 465-4650
Website:
Authorized official contact:
Name: Thayer, Glenn R Doctor of Optometry (OD)

Health care specialties

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

Profile Details

NPI number 1649342767
LBN Legal business name Thayer Eye Care Pa
DBA Doing business as Thayer Eye Care Center
Authorized official Thayer, Glenn R Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Sep 19th, 2011 - about 13 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 1649342767 NPPES
Florida Other 19418 BCBS OF FL
Florida Other CM2511 BCBS OF FL

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