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BRANDON EYE ASSOCIATES PA NPI 1215969357


NPI Information

NPI: 1215969357
Provider Name: BRANDON EYE ASSOCIATES PA

Doing Business As: BRANDON EYE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2070740

Address:
540 MEDICAL OAKS AVE
SUITE 103
BRANDON, FL
ZIP 33511
Phone: (813) 684-2211
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BRANDON EYE ASSOCIATES PA is an ophthalmology in Brandon, 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. BRANDON EYE ASSOCIATES PA NPI is 1215969357. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brandon Eye Associates.

The provider's business location address is:

540 MEDICAL OAKS AVE
SUITE 103
BRANDON, FL
ZIP 33511-995
Phone: (813) 684-2211
Fax: (813) 655-7669

The provider's authorized official is Michelle Fleshner .
The authorized official title is Administrator and has the following contact phone number (813) 684-2211.

The CLIA number assigned to this NPI record is 10D2070740 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/25/2019.


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
1256356800MEDICAIDFLORIDA

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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