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SECOND SIGHT REHAB PA NPI 1063420172


NPI Information

NPI: 1063420172
Provider Name: SECOND SIGHT REHAB PA
Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
4101 NW 89TH BLVD
SHANDS REHABILITATION HOSPITAL
GAINESVILLE, FL
ZIP 32606
Phone: (352) 265-5491
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SECOND SIGHT REHAB PA is a low vision rehabilitation optometrist in Gainesville, FL. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. SECOND SIGHT REHAB PA NPI is 1063420172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4101 NW 89TH BLVD
SHANDS REHABILITATION HOSPITAL
GAINESVILLE, FL
ZIP 32606-813
Phone: (352) 265-5491
Fax: (352) 265-5431

The provider's authorized official is Stephanie Schmiedecke .
The authorized official title is Optometrist, President and has the following contact phone number (832) 541-9186.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 12/17/2007.


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
1152WL0500XOptometristLow Vision RehabilitationYes

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
1AC275MEDICARE 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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