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AVALON PARK EYE CARE LLC NPI 1053548313


NPI Information

NPI: 1053548313
Provider Name: AVALON PARK EYE CARE, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 10D2108812

Address:
12001 AVALON LAKE DR
SUITE J
ORLANDO, FL
ZIP 32828
Phone: (407) 567-9955
Get Directions

AVALON PARK EYE CARE, LLC is an optometrist in Orlando, FL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. AVALON PARK EYE CARE, LLC NPI is 1053548313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12001 AVALON LAKE DR
SUITE J
ORLANDO, FL
ZIP 32828-375
Phone: (407) 567-9955
Fax: (407) 567-9966

The provider's authorized official is Kenneth John Tesinsky .
The authorized official title is President/optometrist and has the following contact phone number (407) 567-9955.

The CLIA number assigned to this NPI record is 10D2108812 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2009 and was last updated on 5/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPC3836FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN251AMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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