Total Eye Care Surgery Center Inc in Leesburg - Ambulatory Surgical
Total Eye Care Surgery Center Inc - NPI 1598791105
Total Eye Care Surgery Center Inc is a Ambulatory Surgical in Leesburg, Florida. Total Eye Care Surgery Center Inc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Total Eye Care Surgery Center Inc is 1598791105. The last update date is 2015-11-12.
Total Eye Care Surgery Center Inc's current location address is 640 S Lake St, Leesburg, Florida. You can contact this provider via phone number 3527281952. The mailing address for Total Eye Care Surgery Center Inc is 640 S Lake St, Leesburg, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Total Eye Care Surgery Center Inc |
|---|---|
| Address | 640 S Lake St, Leesburg, Florida |
| Phone Number | 3527281952 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pennachio Michael |
| Credentials | M.D. |
| Telephone Number | 3527281717 |
NPI Number Detail
| NPI Number | 1598791105 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2015-11-12 |
Provider Mailing Address Detail
| Address | 640 S Lake St |
|---|---|
| City | Leesburg |
| State | Florida (FL) |
| Post Code | 347485927 |
| Phone Number | 3527281952 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 68S | FL | BCBS | |
| MCARE RR | FL | 490004453 |
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What is the unique identifier code issued to Total Eye Care Surgery Center Inc by the Centers for Medicare & Medicaid Services?
The Total Eye Care Surgery Center Inc has been assigned the NPI (National Provider Identifier) 1598791105. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Total Eye Care Surgery Center Inc's physical address?
The Total Eye Care Surgery Center Inc is physically located at 640 S Lake St, in the city of Leesburg, FL, with the postal code 347485927.
What is the Total Eye Care Surgery Center Inc's specialty and taxonomy code?
The Total Eye Care Surgery Center Inc's specialty is Ambulatory Surgical, and the corresponding taxonomy code is 261Qa1903X.
On what date did the Centers for Medicare & Medicaid Services issue the 1598791105 to Total Eye Care Surgery Center Inc?
The Total Eye Care Surgery Center Inc received its 1598791105 assignment from the Centers for Medicare & Medicaid Services on 2006-06-24.
When was the information regarding Total Eye Care Surgery Center Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Total Eye Care Surgery Center Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-11-12.