EYE CENTER OF ST AUGUSTINE PA NPI 1275535726

NPI Information

NPI: 1275535726
Provider Name: EYE CENTER OF ST AUGUSTINE PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1400 US HIGHWAY 1 S
ST AUGUSTINE, FL
ZIP 32084
Phone: (904) 829-2286
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EYE CENTER OF ST AUGUSTINE PA is a specialist in St Augustine, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EYE CENTER OF ST AUGUSTINE PA NPI is 1275535726. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 US HIGHWAY 1 S
ST AUGUSTINE, FL
ZIP 32084-211
Phone: (904) 829-2286

The provider's authorized official is Paul W Hund .
The authorized official title is President and has the following contact phone number (904) 829-2286.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 4/17/2013.

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
1	174400000X	Specialist				Yes

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
1	21339	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	21339	OTHER	FLORIDA	BLUE SHIELD GROUP #

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

NPI Synchronization or Removal

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