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ADVANCED EYE CARE OF BAY COUNTY PA NPI 1164460069


NPI Information

NPI: 1164460069
Provider Name: ADVANCED EYE CARE OF BAY COUNTY PA

Other Name: ADVANCED EYE CRE OF BAY CN

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D1037691

Address:
2500 W 23RD ST
PANAMA CITY, FL
ZIP 32405
Phone: (850) 784-3936
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ADVANCED EYE CARE OF BAY COUNTY PA is an ophthalmology in Panama City, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. ADVANCED EYE CARE OF BAY COUNTY PA NPI is 1164460069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Advanced Eye Cre Of Bay Cn.

The provider's business location address is:

2500 W 23RD ST
PANAMA CITY, FL
ZIP 32405-349
Phone: (850) 784-3936
Fax: (850) 784-3539

The provider's authorized official is Benjamin R Hasty .
The authorized official title is President and has the following contact phone number (850) 784-3936.

The CLIA number assigned to this NPI record is 10D1037691 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 6/4/2008.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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
11002280001MEDICARE NSCFLORIDA
2259391200MEDICAIDFLORIDA
3K0862MEDICARE PINFLORIDA
438903OTHERFLORIDABCBS FL
5CM3172OTHERMEDICARE RETIRED RAILROAD

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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