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LAKE NONA EYE CARE LLC NPI 1275778920


NPI Information

NPI: 1275778920
Provider Name: LAKE NONA EYE CARE, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2300841

Address:
10743 NARCOOSSEE RD
A-25
ORLANDO, FL
ZIP 32832
Phone: (407) 658-9990
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LAKE NONA EYE CARE, LLC is a clinic center in Orlando, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LAKE NONA EYE CARE, LLC NPI is 1275778920. The provider is registered as an organization entity type.

The provider's business location address is:

10743 NARCOOSSEE RD
A-25
ORLANDO, FL
ZIP 32832-944
Phone: (407) 658-9990
Fax: (407) 658-8880

The provider's authorized official is Cynthia Ward .
The authorized official title is President/owner and has the following contact phone number (407) 658-9990.

The CLIA number assigned to this NPI record is 10D2300841 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2008 and was last updated on 6/17/2012.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterOPC 4075FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CQ805AMEDICARE 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: 5/5/2024

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