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FAMILY EYE CARE OF PALM COAST INC NPI 1871901934


NPI Information

NPI: 1871901934
Provider Name: FAMILY EYE CARE OF PALM COAST, INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
4 OFFICE PARK DR
SUITE 4
PALM COAST, FL
ZIP 32137
Phone: (386) 225-4553
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FAMILY EYE CARE OF PALM COAST, INC is a health service clinic center in Palm Coast, FL. FAMILY EYE CARE OF PALM COAST, INC NPI is 1871901934. The provider is registered as an organization entity type.

The provider's business location address is:

4 OFFICE PARK DR
SUITE 4
PALM COAST, FL
ZIP 32137-855
Phone: (386) 225-4553
Fax: (386) 225-4558

The provider's authorized official is Bonnie M Chalker .
The authorized official title is Owner and has the following contact phone number (386) 225-4553.

The enumeration date for this NPI number is 8/1/2014 and was last updated on 8/1/2014.


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
1261QH0100XClinic/CenterHealth ServiceOPC 3585FLORIDAYes

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
11316998529OTHERNPI
2000095900MEDICAIDFLORIDA

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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