William Mark Avonda in Lake City - Optometrist

William Mark Avonda - NPI 1710919170

William Mark Avonda is a Optometrist in Lake City, Florida. William Mark Avonda practices all healthcare services and medical treatments related to Optometrist. The NPI Number for William Mark Avonda is 1710919170. The last update date is 2011-03-21.

William Mark Avonda's current location address is Po Box 489, Lake City, Florida. You can contact this provider via phone number 3867552785 and fax number 3867551128. The mailing address for William Mark Avonda is Po Box 489, Lake City, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name William Mark Avonda
Address Po Box 489, Lake City, Florida
Phone Number 3867552785
Fax Number 3867551128
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1710919170
Provider Enumeration Date 2006-07-07
Last Updated Date 2011-03-21

Provider Mailing Address Detail

Address Po Box 489
City Lake City
State Florida (FL)
Post Code 320560489
Phone Number 3867552785
Fax Number 3867551128

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No OPC3868
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1180560001 MEDICARE DMERC
25000 FL BLUE CROSS BLUE SHIELD
620978500 FL --
1933700 FL --
297390 FL AVMED
620978501 FL --
7155780 FL AETNA
P00208868 RAILROAD MEDICARE

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FAQs about William Mark Avonda

What is the unique identifier code issued to William Mark Avonda by the Centers for Medicare & Medicaid Services (CMS)?

The William Mark Avonda has been assigned the NPI (National Provider Identifier) 1710919170. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where William Mark Avonda is physically located?

The William Mark Avonda is physically situated at the following address: Po Box 489, Lake City, FL, 320560489.

What is William Mark Avonda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The William Mark Avonda's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did William Mark Avonda receive its 1710919170 assignment from the Centers for Medicare & Medicaid Services?

The William Mark Avonda was assigned its 1710919170 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding William Mark Avonda, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to William Mark Avonda, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-03-21.

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