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EASTGATE VISION CENTER NPI 1689845471


NPI Information

NPI: 1689845471
Provider Name: EASTGATE VISION CENTER
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
164 HWY 17 SOUTH
SUITE 12-C EASTGATE VISION CENTER
EAST PALATKA, FL
ZIP 32131
Phone: (386) 328-2008
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EASTGATE VISION CENTER is an optician technician technologist in East Palatka, FL. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. EASTGATE VISION CENTER NPI is 1689845471. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

164 HWY 17 SOUTH
SUITE 12-C EASTGATE VISION CENTER
EAST PALATKA, FL
ZIP 32131
Phone: (386) 328-2008
Fax: (386) 328-2008

The provider's authorized official is Marsha Lynn Roach .
The authorized official title is Optician and has the following contact phone number (386) 328-2008.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 9/24/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOpticianD01128FLORIDAYes

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
11079270001MEDICARE NSC
26381880001MEDICARE NSC

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: 4/28/2024

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