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ADVANCED SURGICAL AND MEDICAL EYE CARE P A NPI 1285670117


NPI Information

NPI: 1285670117
Provider Name: ADVANCED SURGICAL AND MEDICAL EYE CARE P A

Doing Business As: EYES AT THE VILLAGES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2109607

Address:
936 BICHARA BLVD
LADY LAKE, FL
ZIP 32159
Phone: (352) 753-9888
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ADVANCED SURGICAL AND MEDICAL EYE CARE P A is an ophthalmology in Lady Lake, 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 SURGICAL AND MEDICAL EYE CARE P A NPI is 1285670117. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eyes At The Villages.

The provider's business location address is:

936 BICHARA BLVD
LADY LAKE, FL
ZIP 32159-714
Phone: (352) 753-9888
Fax: (352) 753-0947

The provider's authorized official is Tracy Michelle Masters .
The authorized official title is Administrator and has the following contact phone number (352) 753-9888.

The CLIA number assigned to this NPI record is 10D2109607 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/18/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristOPC2612FLORIDANo
2207W00000XOphthalmologyME89546FLORIDANo
3207W00000XOphthalmologyME0071525FLORIDAYes

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
1251540700MEDICAIDFLORIDA
2K1349MEDICARE ID-TYPE UNSPECIFIEDGROUP ID
3180030274OTHERMEDICARE RR GROUP ID
41219930001MEDICARE NSCFLORIDA
599816OTHERFLORIDABLUE CROSS BLUE SHIELD

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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